Provider Demographics
NPI:1306201280
Name:A A AND ASSOCIATES APPROVED ALCOHOL/DRUG PROGRAM
Entity Type:Organization
Organization Name:A A AND ASSOCIATES APPROVED ALCOHOL/DRUG PROGRAM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DON
Authorized Official - Middle Name:L
Authorized Official - Last Name:NANNY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-896-6900
Mailing Address - Street 1:4006 DUTCHMANS LANE SUITE 200
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207
Mailing Address - Country:US
Mailing Address - Phone:502-896-6900
Mailing Address - Fax:502-896-8607
Practice Address - Street 1:4006 DUTCHMANS LANE
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207
Practice Address - Country:US
Practice Address - Phone:502-896-6900
Practice Address - Fax:502-896-8607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-21
Last Update Date:2015-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)Group - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup PsychotherapyGroup - Single Specialty