Michelle Brimm
Individual provider Active NPI Marriage & Family Therapist · Louisville, KY
NPI 1821369182 · NPPES record last updated Jan 19, 2012
Key facts
- NPI
- 1821369182
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 11-21 (KY)
- Practice address
- 914 E Broadway
1St Floor
Louisville, KY 40204-1037 - Phone
- (502) 589-8600
- Fax
- (502) 589-8771
- NPI assigned
- Jan 19, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11-21 | KY | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathways to Healing | Marriage & Family Therapist | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 11-21 | KY | Yes |
Addresses
Primary practice location
914 E Broadway
1St Floor
Louisville, KY 40204-1037
Mailing address
101 W Muhammad Ali Blvd
Louisville, KY 40202-1423
Other providers in Louisville, KY
- Lauren Carney Briley
- Linda M Brill
- Robert D Brill
- Mary Virginia Brilliant
- Sandra Brim
- Madeline Brimmer
- Shari W Brindley
- Elizabeth Briney
- Bring Light Evaluation Services PLLC
- Emma Brink
All providers in Louisville, KY · Marriage & Family Therapist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.