| Alta Vista Counseling Llc | |
|
130 Fairfax Ave Lowr Levelc Louisville KY 40207-4939 | |
| (502) 593-2618 | |
| Not Available |
| Full Name | Alta Vista Counseling Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 130 Fairfax Ave Lowr Levelc, Louisville, Kentucky |
| Authorized Official Name and Position | Mary Southgate Clay Edinger (CO-OWNER) |
| Authorized Official Contact | 5025932618 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alta Vista Counseling Llc 130 Fairfax Ave Lowr Levelc Louisville KY 40207-4939 Ph: (502) 593-2618 | Alta Vista Counseling Llc 130 Fairfax Ave Lowr Levelc Louisville KY 40207-4939 Ph: (502) 593-2618 |
| NPI Number | 1013744747 |
|---|---|
| Provider Enumeration Date | 09/17/2024 |
| Last Update Date | 09/17/2024 |
| Certification Date | 09/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013744747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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