Provider Demographics
NPI:1972182517
Name:DANTPLACE, LTD. CO.
Entity Type:Organization
Organization Name:DANTPLACE, LTD. CO.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPCC
Authorized Official - Prefix:
Authorized Official - First Name:NOLON
Authorized Official - Middle Name:
Authorized Official - Last Name:DANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-500-6905
Mailing Address - Street 1:1148 S BROOK ST
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40203-2716
Mailing Address - Country:US
Mailing Address - Phone:502-500-6905
Mailing Address - Fax:
Practice Address - Street 1:4010 DUPONT CIR STE 228
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4825
Practice Address - Country:US
Practice Address - Phone:502-500-6905
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-02
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty