Organization · NPI-2

1st Priority Healthcare LLC

Counselor, Mental Health · Louisville, KY

NPI number1386255131
StatusActive
Last updated in NPPESFeb 7, 2023

Details

NPI
1386255131
Entity type
Organization (NPI-2)
Legal business name
1st Priority Healthcare LLC
Organization subpart
No
Enumeration date
Aug 14, 2020
Certification date
Feb 7, 2023
Last updated
Feb 7, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

4229 Bardstown Rd Ste 201
Louisville, KY 40218-3286

Phone 502-286-6565 · Fax 502-286-6565

Mailing address

1191 Salem Lake Rd
Winston Salem, NC 27107-1550

Phone 336-413-8765 · Fax 502-286-6565

Authorized official

Seneca G Davidson
Ceo
3364138765

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