| 2022 Llc | |
|
1229 Arcade Ave Louisville KY 40215-2203 | |
| (502) 384-0939 | |
| (502) 384-6008 |
| Full Name | 2022 Llc |
|---|---|
| Speciality | Counselor |
| Location | 1229 Arcade Ave, Louisville, Kentucky |
| Authorized Official Name and Position | Xavier Giles (OWNER) |
| Authorized Official Contact | 5023840939 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 2022 Llc 4104 Smarty Jones Dr Louisville KY 40214-6530 Ph: (502) 759-6281 | 2022 Llc 1229 Arcade Ave Louisville KY 40215-2203 Ph: (502) 384-0939 |
| NPI Number | 1326885013 |
|---|---|
| Provider Enumeration Date | 07/10/2024 |
| Last Update Date | 05/30/2025 |
| Certification Date | 05/30/2025 |
| Medicare PECOS PAC ID | 0840714127 |
|---|---|
| Medicare Enrollment ID | O20250408002339 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326885013 | NPI | - | NPPES |
| 7100994100 | Medicaid | KY |
| Provider Name | Donna Marie Russell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265112858 PECOS PAC ID: 1153847744 Enrollment ID: I20250428000846 |
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