Provider Demographics
NPI:1831248954
Name:HUTCHINS, DENISE S (LPCC-S)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:S
Last Name:HUTCHINS
Suffix:
Gender:F
Credentials:LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4010 DUPONT CIRCLE
Mailing Address - Street 2:SUITE 403
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207
Mailing Address - Country:US
Mailing Address - Phone:502-825-1375
Mailing Address - Fax:502-305-7101
Practice Address - Street 1:4010 DUPONT CIRCLE
Practice Address - Street 2:SUITE 403
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207
Practice Address - Country:US
Practice Address - Phone:502-825-1375
Practice Address - Fax:502-305-7101
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY104113101YM0800X, 101YP2500X
KY0647101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100303660Medicaid
KY30615058Medicaid