National Provider Identifier Database

SURYA MENTAL WELLNESS LLC
Professional


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
* Professional 101YP2500X
Interpreter 171R00000X
Mental Health 101YM0800X

* Indicates primary specialty

NPI Profile & details for SURYA MENTAL WELLNESS LLC

NPI Number 1184208696
Legal business name
LBN
SURYA MENTAL WELLNESS LLC
Authorized official NORMA THOMAS - (BILINGUAL CLINICIAN)
Entity Organization
Organization subpart No
Enumeration date 05/11/2021
Last updated 11/14/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • KY Medicaid: 7100756220

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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