Provider Demographics
NPI:1801501291
Name:CASA GALENIA
Entity type:Organization
Organization Name:CASA GALENIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER / CEO
Authorized Official - Prefix:
Authorized Official - First Name:MAYRA
Authorized Official - Middle Name:ALEJANDRA
Authorized Official - Last Name:TORRES-RUIZ
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:601-529-7499
Mailing Address - Street 1:127 STATE ST
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40206-3122
Mailing Address - Country:US
Mailing Address - Phone:601-529-7499
Mailing Address - Fax:
Practice Address - Street 1:127 STATE ST
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40206-3122
Practice Address - Country:US
Practice Address - Phone:601-529-7499
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-19
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty