Alta Vista Counseling LLC
NPI #1013744747 in Louisville, Kentucky
Provider Information
- NPI Number
- 1013744747
- Entity Type
- Organization
- Organization Name
- Alta Vista Counseling LLC
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Sep 17, 2024
- Last Updated
- Sep 17, 2024
Practice Location
- Address
- 130 FAIRFAX AVE LOWR LEVELC
- City
- Louisville
- State
- Kentucky
- ZIP Code
- 40207-4939
- Phone
- (502) 593-2618
Authorized Official
- Name
- MARY SOUTHGATE CLAY EDINGER
- Title
- CO-OWNER
- Phone
- (502) 593-2618
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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