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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

NPI Number 1184208696
LBN Legal business name SURYA MENTAL WELLNESS LLC
Authorized official NORMA THOMAS - (BILINGUAL CLINICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 05/11/2021
Last updated 11/14/2023 - About 3 years ago
Identifiers
KY Medicaid 7100756220
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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