NPI 1013744747
Alta Vista Counseling LLC
Practice location
- Address
- 130 Fairfax Ave Lowr Levelc, Louisville, KY 40207-4939
- Phone
- (502) 593-2618
Authorised official
- Name
- Mary Southgate Clay Edinger
- Title
- Co-Owner
- Phone
- (502) 593-2618
Registered specialties
Marriage & Family Therapist
Primary
Registry record
- NPI
- 1013744747
- Entity type
- Organization
- NPI issued
- 17 Sep 2024
- Record last updated
- 17 Sep 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.