| Gorham Counseling And Wellness, Llc | |
|
13121 Eastpoint Park Blvd Ste F Louisville KY 40223-4192 | |
| (502) 262-8767 | |
| Not Available |
| Full Name | Gorham Counseling And Wellness, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 13121 Eastpoint Park Blvd Ste F, Louisville, Kentucky |
| Authorized Official Name and Position | Chelsey Gorham (OWNER/THERAPIST) |
| Authorized Official Contact | 5022628767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gorham Counseling And Wellness, Llc 16207 Eastwood Cutt Off Rd., P.o. Box 21 Eastwood KY 40018 Ph: (502) 262-8767 | Gorham Counseling And Wellness, Llc 13121 Eastpoint Park Blvd Ste F Louisville KY 40223-4192 Ph: (502) 262-8767 |
| NPI Number | 1760213722 |
|---|---|
| Provider Enumeration Date | 08/12/2024 |
| Last Update Date | 07/03/2025 |
| Certification Date | 07/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760213722 | NPI | - | NPPES |
| 7101039050 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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