Pantheon Family Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

3793 Issued in KY

Legal business name

PANTHEON FAMILY SERVICES

Practice address

2715 Alford Ave
Louisville, KY 40212-1912

Phone

(502) 644-4770

NPI assigned

Mar 16, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Carla Fletcher, MSSW

Title

President

Phone

(502) 644-4770

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1426464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426464000000",
    "number": "1134512015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 ALFORD AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402121912",
            "telephone_number": "502-644-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 ALFORD AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402121912",
            "telephone_number": "502-644-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANTHEON FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-16",
        "last_updated": "2015-03-16",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-644-4770",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "KY",
            "license": "3793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tudor Panta, OTR
• Amelia Pantalos, L.AC., LMT
• Diana C. Pantalos, RD
• Stephanie Marie Pantera
• Mary Lee Pantess, NP
• Patrick-Jason Panzu, MD
• Georgios Papageorgakopoulos, DDS
• Summer D Papajeski
• John M Papanek, LCSW
• Brittany Pape

• Community/Behavioral Health Agency in Louisville, KY
• Providers in Louisville, KY by specialty
• Community/Behavioral Health Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.