Exodus Scholar Homes

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EXODUS SCHOLAR HOMES

Practice address

2617 W Broadway
Louisville, KY 40211-1332

Phone

(502) 544-5912

Fax

(502) 333-0906

NPI assigned

Jan 3, 2024

Organization subpart

No

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

Authorized official

Name

Miss Monyalle Swain

Title

Ceo

Phone

(502) 544-5912

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1265202154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2617 W BROADWAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402111332",
            "telephone_number": "502-544-5912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 W BROADWAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402111332",
            "telephone_number": "502-544-5912",
            "fax_number": "502-333-0906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2507 Cedar St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402121628",
            "country_code": "US",
            "telephone_number": "502-544-5912",
            "fax_number": "502-333-0906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EXODUS SCHOLAR HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "SWAIN",
        "authorized_official_first_name": "MONYALLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "502-544-5912",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.