Angel's Place LLC
NPI #1265258446 in Louisville, Kentucky
Provider Information
- NPI Number
- 1265258446
- Entity Type
- Organization
- Organization Name
- Angel's Place LLC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Dec 3, 2024
- Last Updated
- Dec 3, 2024
Practice Location
- Address
- 939 BAXTER AVE
- City
- Louisville
- State
- Kentucky
- ZIP Code
- 40204-2046
- Phone
- (812) 660-9936
Authorized Official
- Name
- MICHAEL MONTEZ PERCELL
- Title
- OWNER
- Phone
- (502) 356-6035
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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