Provider Demographics
NPI:1558544700
Name:BILL STANLEY AND ASSOCIATES, INC.
Entity Type:Organization
Organization Name:BILL STANLEY AND ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:STANLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:502-587-0711
Mailing Address - Street 1:1027 BAXTER AVE
Mailing Address - Street 2:UNIT 1
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40204-1605
Mailing Address - Country:US
Mailing Address - Phone:502-587-0711
Mailing Address - Fax:502-587-0144
Practice Address - Street 1:1027 BAXTER AVE
Practice Address - Street 2:UNIT 1
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40204-1605
Practice Address - Country:US
Practice Address - Phone:502-587-0711
Practice Address - Fax:502-587-0144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-11
Last Update Date:2009-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY617251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health