institution
Wellspace Psychiatry Llc
Psychiatric/Mental Health Nurse Practitioner in Louisville, Kentucky
NPI 1710694468

Wellspace Psychiatry Llc is a Psychiatric/Mental Health Nurse Practitioner based in Louisville, KY and is specialized in Psychiatric/Mental Health. Wellspace Psychiatry Llc practices in Louisville, KY. The NPI Number for Wellspace Psychiatry Llc is 1710694468 and holds a License No. (Kentucky).

The current practice location address for Wellspace Psychiatry Llc is 9700 Park Plaza Ave Unit 210, Louisville, KY and can be reached out via phone at 502-419-4289.

Location: 9700 Park Plaza Ave Unit 210, Louisville, KY, 40241-2287
institution
Provider Profile Details
NPI Number
1710694468
Provider Name
Wellspace Psychiatry Llc
Credential
Provider Entity Type
Organization
Address
9700 Park Plaza Ave Unit 210, Louisville, KY, 40241-2287
Phone Number
502-419-4289
Fax Number
Provider Enumeration Date
11/02/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1730733783 01 NPI 1
3013601 01 KY APRN LICENSE
7100639170 05 KY
1128009 01 KY RN LICENSE
institution
Provider Business Practice Location Address Details
Address
9700 Park Plaza Ave Unit 210
City
State
Zip
40241-2287
Phone Number
502-419-4289
Fax Number
person
Provider Business Mailing Address Details
Address
9700 Park Plaza Ave Unit 210
City
State
Zip
40241-2287
Phone Number
502-419-4289
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
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Definition
Definition to come...
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