| Home Away From Home Therapeutic Center | |
|
849 S 37th St Louisville KY 40211-2811 | |
| (502) 618-9204 | |
| Not Available |
| Full Name | Home Away From Home Therapeutic Center |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 849 S 37th St, Louisville, Kentucky |
| Authorized Official Name and Position | Shaquila Cooper (OWENER/OPERATOR) |
| Authorized Official Contact | 5026189205 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Home Away From Home Therapeutic Center 1828 Bolling Ave Louisville KY 40210-1908 Ph: (502) 618-9205 | Home Away From Home Therapeutic Center 849 S 37th St Louisville KY 40211-2811 Ph: (502) 618-9204 |
| NPI Number | 1548035223 |
|---|---|
| Provider Enumeration Date | 11/22/2023 |
| Last Update Date | 11/22/2023 |
| Certification Date | 11/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548035223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Ddms Of Louisiana No 2, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9901 Linn Station Rd, Louisville, KY 40223 Phone: 800-866-0860 | |
The Home Of The Innocents Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 E Market St, Louisville, KY 40206 Phone: 502-596-1088 Fax: 502-596-1449 | |
Brite Pointe Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 324 Dale Rd, Louisville, KY 40229 Phone: 502-713-1041 Fax: 502-277-1528 | |
Meghana Suchak Phd, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4010 Dupont Cir Ste 574, Louisville, KY 40207 Phone: 502-912-1498 | |
Action First Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3019 Wickland Rd, Louisville, KY 40205 Phone: 502-558-1382 | |
Victoria Hatfield Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 528 Vineleaf Dr, Louisville, KY 40222 Phone: 502-724-4355 | |
Rays Of Change Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2600 W Broadway Ste 102, Louisville, KY 40211 Phone: 216-484-3242 |