Provider Demographics
NPI:1073997714
Name:COUNSELING THERAPY & MORE, LLC
Entity Type:Organization
Organization Name:COUNSELING THERAPY & MORE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NILES
Authorized Official - Middle Name:
Authorized Official - Last Name:CHARLET
Authorized Official - Suffix:
Authorized Official - Credentials:MSM, MFTA
Authorized Official - Phone:502-386-6380
Mailing Address - Street 1:5910 CENTERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CRESTWOOD
Mailing Address - State:KY
Mailing Address - Zip Code:40014-9195
Mailing Address - Country:US
Mailing Address - Phone:502-386-6380
Mailing Address - Fax:
Practice Address - Street 1:2303 HURSTBOURNE VILLAGE DR STE 1100
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40299-1830
Practice Address - Country:US
Practice Address - Phone:502-386-6380
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-13
Last Update Date:2015-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYMFTMFA00220821302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization