Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Allegiance to Self

Organization Mental Health Counselor · NPI 1679389332

Allegiance to Self is a Mental Health Counselor in Louisville, Kentucky. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3

Practice location Address checks out

3711 W Broadway
Louisville, KY 40211-2847
Phone: (502) 322-2065
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X
Mental Health Counselor Taxonomy 101YM0800X
Case Management Agency Taxonomy 251B00000X

Record details

NPI number1679389332
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Antwone Shaw — Ceo · (502) 322-2065
NPI enumeratedDecember 9, 2024
Last updated in NPPESDecember 10, 2024
Certification dateDecember 10, 2024
Mailing address9508 Yellow Pine Ct, Louisville, KY 40229-1642

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