Provider Demographics
NPI:1467184002
Name:HUME, ALAYNA M (MED)
Entity Type:Individual
Prefix:
First Name:ALAYNA
Middle Name:M
Last Name:HUME
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6412 FARIS WAY
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40272-4415
Mailing Address - Country:US
Mailing Address - Phone:502-593-2962
Mailing Address - Fax:
Practice Address - Street 1:2202 COMMERCE PKWY STE E
Practice Address - Street 2:
Practice Address - City:LA GRANGE
Practice Address - State:KY
Practice Address - Zip Code:40031-8730
Practice Address - Country:US
Practice Address - Phone:502-653-7211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-30
Last Update Date:2022-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY278489103TC1900X, 221700000X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist