Organization · NPI-2

A Safe Place

Social Worker, Clinical · Louisville, KY

NPI number1134791106
StatusActive
Last updated in NPPESAug 30, 2021

Details

NPI
1134791106
Entity type
Organization (NPI-2)
Legal business name
A Safe Place
Organization subpart
No
Enumeration date
Jul 10, 2021
Certification date
Aug 30, 2021
Last updated
Aug 30, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical––Yes

Practice location

4229 Bardstown Rd Ste 214
Louisville, KY 40218-3241

Phone 502-630-2018 · Fax 502-630-2018

Mailing address

4229 Bardstown Rd Ste 214
Louisville, KY 40218-3241

Phone 502-630-2018

Authorized official

Susan Diemer
Therapist
5025933831

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