Organization · NPI-2

4 Star Guidance LLC

Counselor, Mental Health · Louisville, KY

NPI number1548756653
StatusActive
Last updated in NPPESMar 5, 2021

Details

NPI
1548756653
Entity type
Organization (NPI-2)
Legal business name
4 Star Guidance LLC
Organization subpart
No
Enumeration date
Jul 2, 2018
Certification date
Oct 13, 2020
Last updated
Mar 5, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

6515 Dixie Hwy
Louisville, KY 40258-3907

Phone 502-488-4002 · Fax 502-488-4002

Mailing address

6515 Dixie Hwy
Louisville, KY 40258-3907

Phone 502-488-4002 · Fax 502-488-4002

Authorized official

Keisha Key
Ceo
5024884002

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