| Joshuas House | |
|
1169 Eastern Pkwy Ste 1124 Louisville KY 40217-1462 | |
| (502) 576-6643 | |
| Not Available |
| Full Name | Joshuas House |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1169 Eastern Pkwy Ste 1124, Louisville, Kentucky |
| Authorized Official Name and Position | Catherine L Stone-hahn (MEMBER) |
| Authorized Official Contact | 5024451135 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joshuas House 1169 Eastern Pkwy Ste 1124 Louisville KY 40217-1462 Ph: (502) 576-6643 | Joshuas House 1169 Eastern Pkwy Ste 1124 Louisville KY 40217-1462 Ph: (502) 576-6643 |
| NPI Number | 1013695352 |
|---|---|
| Provider Enumeration Date | 07/07/2023 |
| Last Update Date | 11/18/2024 |
| Certification Date | 11/18/2024 |
| Medicare PECOS PAC ID | 1254865694 |
|---|---|
| Medicare Enrollment ID | O20241107004062 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013695352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Susan Clark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619268422 PECOS PAC ID: 2365743366 Enrollment ID: I20151216002097 |
| Provider Name | Catherine Stone Hahn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962892125 PECOS PAC ID: 7012277338 Enrollment ID: I20180207000254 |
| Provider Name | Dorothy L Hickerson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437288503 PECOS PAC ID: 4284054545 Enrollment ID: I20201026003251 |
| Provider Name | Jessica M Craven |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265052153 PECOS PAC ID: 7911437686 Enrollment ID: I20250211000260 |
| Provider Name | Ellet Durbin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174096440 PECOS PAC ID: 0941730345 Enrollment ID: I20250214001740 |
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