A a and Associates Approved Alcohol/Drug Program
Organization Active NPI Addiction (Substance Use Disorder) Psychologist · Louisville, KY
NPI 1306201280 · NPPES record last updated Dec 21, 2015
Key facts
- NPI
- 1306201280
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Addiction (Substance Use Disorder) Psychologist 103TA0400X
- Legal business name
- A A AND ASSOCIATES APPROVED ALCOHOL/DRUG PROGRAM
- Practice address
- 4006 Dutchmans Lane
Louisville, KY 40207 - Phone
- (502) 896-6900
- Fax
- (502) 896-8607
- NPI assigned
- Dec 21, 2015
- Organization subpart
- No
Authorized official
- Name
- Mr. Don L. Nanny
- Title
- Administrator
- Phone
- (502) 896-6900
National Provider Directory
Locations
4006 Dutchmans Ln
Ste 200
Louisville, KY 40207
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | |||
| Addiction (Substance Use Disorder) Psychologist |
103TA0400X | Yes | ||
| Group Psychotherapy Psychologist |
103TP2701X |
Addresses
Primary practice location
4006 Dutchmans Lane
Louisville, KY 40207
Mailing address
4006 Dutchmans Lane Suite 200
Louisville, KY 40207
Phone (502) 896-6900
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.