Shenika Lanee Breed

Individual provider Active NPI Marriage & Family Therapist · Louisville, KY

NPI 1891508552 · NPPES record last updated Jan 28, 2025

Key facts

NPI
1891508552
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
294941
Practice address
3216 Stegner Ave
Louisville, KY 40216-2215
Phone
(502) 599-1440
NPI assigned
Jan 28, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 294941 Yes

Addresses

Primary practice location

3216 Stegner Ave
Louisville, KY 40216-2215

Mailing address

3216 Stegner Ave
Louisville, KY 40216-2215
Phone (502) 599-1440

Other practice location 1

4010 DuPont Cir
Louisville, KY 40207-4812
Phone (502) 899-5411

Other providers in Louisville, KY

All providers in Louisville, KY · Marriage & Family Therapist in Kentucky

Sources for this page

Verify at the official NPI Registry.