Provider Demographics
NPI:1578749040
Name:PRIORITIES UNLIMITED.LLC
Entity Type:Organization
Organization Name:PRIORITIES UNLIMITED.LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/SOCIAL WORKER/
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:TARVER-WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:CSW
Authorized Official - Phone:502-848-4225
Mailing Address - Street 1:621 WREN AVE
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:KY
Mailing Address - Zip Code:40601-3835
Mailing Address - Country:US
Mailing Address - Phone:502-848-4225
Mailing Address - Fax:502-848-8822
Practice Address - Street 1:621 WREN AVE
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601-3835
Practice Address - Country:US
Practice Address - Phone:502-848-4225
Practice Address - Fax:502-848-8822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-15
Last Update Date:2008-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3253302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization