Michelle Lynn Keller, LCSW
Counselor, Mental Health in Louisville, KY. Individual provider (NPI-1).
NPI number1194351809
StatusActive
Last updated in NPPESNov 27, 2023
Details
- NPI
- 1194351809
- Entity type
- Individual (NPI-1)
- Name
- Michelle Lynn Keller
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 14, 2020
- Certification date
- Mar 14, 2020
- Last updated
- Nov 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 254281 | KY | Yes |
Practice location
12701 Townepark Way Bldg Suite200Louisville, KY 40243-2384
Phone 502-254-8880 · Fax 502-254-8870
Mailing address
4818 Bridle Bend WayLouisville, KY 40299-4889
Phone 859-489-6452
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