Allegiance to Self

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

ALLEGIANCE TO SELF

Practice address

3711 W Broadway
Louisville, KY 40211-2847

Phone

(502) 322-2065

NPI assigned

Dec 9, 2024

Last updated

Dec 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Antwone Shaw

Title

Ceo

Phone

(502) 322-2065

Specialties & licenses 3

Addresses

Tax ID family

Allegiance to Self2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Allegiance to Self Recovery

  • Substance Abuse Rehabilitation Facility
  • Louisville, KY
  • NPI 1144044728
  NPD tax ID

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

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1679389332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9508 YELLOW PINE CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402291642",
            "telephone_number": "502-322-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 W BROADWAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402112847",
            "telephone_number": "502-322-2065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGIANCE TO SELF",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-09",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "ANTWONE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "502-322-2065",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allan Baker Inc (Korrect Optical)
• Ashley Jo Allar, CRNA
• Anna Mary Allard
• Allcare Medical Centers of Kentuckiana,LLC
• William Bennett Alldredge, LMFT-A
• Allegiance to Self Recovery
• Allegiant Speech Pathology
• Jessica Alleman
• Amanda Allen-Herm
• Maria Allen-Jenkins, PSY.D.

• Substance Abuse Rehabilitation Facility in Louisville, KY
• Providers in Louisville, KY by specialty
• Substance Abuse Rehabilitation Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.