Provider Demographics
NPI:1700479201
Name:WOMEN IN CIRCLE INC
Entity Type:Organization
Organization Name:WOMEN IN CIRCLE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXC. DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LETE
Authorized Official - Middle Name:
Authorized Official - Last Name:ANSERA
Authorized Official - Suffix:
Authorized Official - Credentials:LCADC
Authorized Official - Phone:502-690-2010
Mailing Address - Street 1:4602 SOUTHERN PKWY STE 2C
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40214-1442
Mailing Address - Country:US
Mailing Address - Phone:502-690-2010
Mailing Address - Fax:855-894-9366
Practice Address - Street 1:4602 SOUTHERN PKWY STE 2C
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40214-1442
Practice Address - Country:US
Practice Address - Phone:502-690-2010
Practice Address - Fax:855-894-9366
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MINDFUL DIRECTION COUNSELING SERVICES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-02-16
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty