Whalio Doctors

NPI 1225395023

Livewise LLC

Organisation Clinical Social Worker Bardstown, KY

Practice location

Address
103 Englewood Dr, Bardstown, KY 40004-2520
Phone
(502) 510-3630

Authorised official

Name
Jay Anthony Hall
Title
Owner
Phone
(502) 510-3630

Registered specialties

Clinical Social Worker Primary
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence KY-1412 (KY)

Registry record

NPI
1225395023
Entity type
Organization
NPI issued
18 Apr 2012
Record last updated
18 Apr 2012

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.