Organization · NPI-2

A New Shore Counseling

Social Worker, Clinical · Louisville, KY

NPI number1801487145
StatusActive
Last updated in NPPESFeb 18, 2021

Details

NPI
1801487145
Entity type
Organization (NPI-2)
Legal business name
A New Shore Counseling
Organization subpart
No
Enumeration date
Jan 29, 2021
Certification date
Feb 18, 2021
Last updated
Feb 18, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical––Yes

Other names

  • A New Shore Counseling, LLC (Doing Business As)

Practice location

4211 Poplar Level Rd Ste 103
Louisville, KY 40213-1527

Phone 502-694-0042 · Fax 502-305-2123

Mailing address

4211 Poplar Level Rd Ste 103
Louisville, KY 40213-1527

Phone 502-694-0042 · Fax 502-305-2123

Authorized official

Sarah E Wilburn
Owner/Practitoner
5026940042

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