Provider Demographics
NPI:1992029052
Name:SINGH, GAYATRI (LCSW, LMFT, APRN)
Entity Type:Individual
Prefix:DR
First Name:GAYATRI
Middle Name:
Last Name:SINGH
Suffix:
Gender:F
Credentials:LCSW, LMFT, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3801 SPRINGHURST BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40241-6137
Mailing Address - Country:US
Mailing Address - Phone:502-394-0101
Mailing Address - Fax:502-425-4275
Practice Address - Street 1:3801 SPRINGHURST BLVD STE 101
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40241-6137
Practice Address - Country:US
Practice Address - Phone:502-394-0101
Practice Address - Fax:502-425-4275
Is Sole Proprietor?:No
Enumeration Date:2010-03-18
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY34091041C0700X
IN71012697A163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical