Kristi Black
Individual provider Active NPI Marriage & Family Therapist · Louisville, KY
NPI 1912516634 · NPPES record last updated Jul 28, 2020
Key facts
- NPI
- 1912516634
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- Practice address
- 4420 Dixie Hwy Ste 230
Louisville, KY 40216-2986 - Phone
- (502) 694-1444
- NPI assigned
- Jul 28, 2020
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Yes |
Addresses
Primary practice location
4420 Dixie Hwy Ste 230
Louisville, KY 40216-2986
Mailing address
4601 Marcus TRL
Lexington, KY 40509-2148
Other providers in Louisville, KY
- Brittany Ann Black
- Elena Marie Black
- Frances C Black
- Karen P Black
- Kristen Black
- Lindsay Black
- Macey Noel Black
- Robert H Black
- Todd A Black
- Whitney Black
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 Jul 28, 2020. 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.