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Contact Information

SURYA MENTAL WELLNESS LLC
1939 GOLDSMITH LN STE 260
LOUISVILLE, KY40218-3174
 Phone: 502-519-7979
 Fax: 502-792-7274
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Interpreter

171R00000X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for SURYA MENTAL WELLNESS LLC · (Female)

NPI Number 1184208696
Status Active
Credentials
Entity Individual
Enumeration date 05/11/2021
Last updated 11/14/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • KY Medicaid 7100756220
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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