Provider Demographics
NPI:1376743336
Name:HORD, ROBIN CORINNE (LMFT, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:CORINNE
Last Name:HORD
Suffix:
Gender:F
Credentials:LMFT, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1107 WILLOW PARK CIR
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40299-4688
Mailing Address - Country:US
Mailing Address - Phone:502-244-7385
Mailing Address - Fax:
Practice Address - Street 1:920 BLANKENBAKER PKWY
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40243-1845
Practice Address - Country:US
Practice Address - Phone:502-253-8425
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-18
Last Update Date:2008-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-18971041C0700X
KYKY-0577106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical