Organization · NPI-2

2022 LLC

Counselor, Addiction (Substance Use Disorder) · Louisville, KY

NPI number1326885013
StatusActive
Last updated in NPPESMay 30, 2025

Details

NPI
1326885013
Entity type
Organization (NPI-2)
Legal business name
2022 LLC
Organization subpart
No
Enumeration date
Jul 10, 2024
Certification date
May 30, 2025
Last updated
May 30, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)––Yes
101YM0800X Counselor, Mental Health––
1041C0700X Social Worker, Clinical––
363LF0000X Nurse Practitioner, Family––

Other names

  • Arch To Freedom Recovery Center (Doing Business As)

Practice location

1229 Arcade Ave
Louisville, KY 40215-2203

Phone 502-384-0939 · Fax 502-384-6008

Mailing address

4104 Smarty Jones Dr
Louisville, KY 40214-6530

Phone 502-759-6281 · Fax 502-772-1533

Authorized official

Xavier Giles
Owner
5023840939

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