Allegiance To Self Recovery
Substance Abuse Rehabilitation Facility in Louisville, KY. Organization (NPI-2).
NPI number1144044728
StatusActive
Last updated in NPPESDec 10, 2024
Details
- NPI
- 1144044728
- Entity type
- Organization (NPI-2)
- Legal business name
- Allegiance To Self Recovery
- Organization subpart
- No
- Enumeration date
- Nov 11, 2024
- Certification date
- Dec 10, 2024
- Last updated
- Dec 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 251B00000X | Case Management | – | – | |
| 251S00000X | Community/Behavioral Health | – | – | |
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – | |
| 261QR0800X | Clinic/Center, Recovery Care | – | – |
Practice location
3711 W BroadwayLouisville, KY 40211-2847
Phone 502-322-2065
Mailing address
9508 Yellow Pine CtLouisville, KY 40229-1642
Phone 502-322-2065
Authorized official
Antwone Shaw
Ceo
5023222065
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Substance Abuse Rehabilitation Facility providers in Louisville, KY
- 1st Step RecoveryNPI 1104539311
- 1st Step Recovery #2NPI 1760182794
- 4112 Fern Valley Road Ops LLCNPI 1124862750
- 4418 Malcolm Avenue Ops LLCNPI 1801630512
- 502 Sobriety Soldiers LLCNPI 1912764754
- 8311 Preston Highway Ops, LLCNPI 1750277893
- Addiction & Mental Health Services INCNPI 1336453422
- Adio Health Management Solutions, LLCNPI 1275397861
- Allegiance To SelfNPI 1679389332
- Alliance For Change, LLCNPI 1922863315
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.