Provider Demographics
NPI:1194856500
Name:BESSINGER, JODI
Entity Type:Individual
Prefix:
First Name:JODI
Middle Name:
Last Name:BESSINGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1628 DUNBARTON WYNDE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40205-2778
Mailing Address - Country:US
Mailing Address - Phone:502-554-2439
Mailing Address - Fax:502-416-0723
Practice Address - Street 1:214 BRECKENRIDGE LN
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-3868
Practice Address - Country:US
Practice Address - Phone:502-554-2439
Practice Address - Fax:502-416-0723
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY155101Y00000X
KY1171101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor