Provider Demographics
NPI:1033327739
Name:ROSE GEISER
Entity Type:Organization
Organization Name:ROSE GEISER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:M
Authorized Official - Last Name:GEISER
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:502-345-9587
Mailing Address - Street 1:7980 NEW LAGRANGE RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40222-4767
Mailing Address - Country:US
Mailing Address - Phone:502-345-9587
Mailing Address - Fax:502-254-9587
Practice Address - Street 1:7980 NEW LAGRANGE RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40222-4767
Practice Address - Country:US
Practice Address - Phone:502-345-9587
Practice Address - Fax:502-254-9587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0492106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty