House Of Demi Mental Health And Wellness, NPI 1942935341
Mental Health Clinic/Center (Including Community Mental Health Center) in Louisville, KY, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1942935341
NPI Entity Type Organization
Provider Name House Of Demi Mental Health And Wellness
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 904 Marlows Ford Rd Apt 201, Louisville, KY, US
Provider Mailing Address Po Box 221434, Louisville, KY, US, 402521434
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name MS. LPCA-NCC Demetria Tyrau January
Official Position OWNER / CHIEF EXECUTIVE OFFICER
Phone 502-641-1877

Primary Taxonomy

Taxonomy Code

261QM0801X

Taxonomy Name Mental Health Clinic/Center (Including Community Mental Health Center)
Classification

Clinic/Center

Group

Ambulatory Health Care Facilities

Description Definition to come...

Business Address

House Of Demi Mental Health And Wellness
904 Marlows Ford Rd Apt 201

Louisville, KY, US

Phone: 502-641-1877

Mailing Address

House Of Demi Mental Health And Wellness
Po Box 221434
Louisville, KY, US
ZIP 402521434
Phone: 502-641-1877

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

261QM0850X

Ambulatory Health Care Facilities

Clinic/Center

No

261QM0855X

Ambulatory Health Care Facilities

Clinic/Center

No

Health Information Exchange

Endpoint Type Endpoint Description Use Content Type Affiliation Location
DIRECT [email protected] business email address HIE OTHER No 904 Marlows Ford Rd Apt 201, Louisville, KY, US

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Organization

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Organization

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Organization

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Sarah L Young

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D.O. William B Webb

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PA-C Brittney R. Judhan

Individual

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MD Brett E Jarrell

Individual

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APRN Danny Brent Newsome

Individual

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911 Bypass Rd Bldg A

Pikeville, KY

1093744807

DO John M Fleming

Individual

Family Medicine Physician

911 Bypass Rd Bldg A

Pikeville, KY

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