Provider Demographics
NPI:1619384120
Name:ASSOCIATES IN BEHAVIORAL HEALTH PSC
Entity Type:Organization
Organization Name:ASSOCIATES IN BEHAVIORAL HEALTH PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANYA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:TROWEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:502-777-7708
Mailing Address - Street 1:PO BOX 436106
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40253-6106
Mailing Address - Country:US
Mailing Address - Phone:502-777-7708
Mailing Address - Fax:502-561-1113
Practice Address - Street 1:302 E BRECKINRIDGE ST
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40203-2328
Practice Address - Country:US
Practice Address - Phone:502-777-7708
Practice Address - Fax:502-561-1113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-16
Last Update Date:2014-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY428912084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Multi-Specialty