Allegiance to Self Recovery
Allegiance to Self Recovery is a Mental Health Counselor in Louisville, Kentucky. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 6
Practice location Address checks out
3711 W BroadwayLouisville, KY 40211-2847
Phone: (502) 322-2065
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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 |
| Community/Behavioral Health Agency | Taxonomy 251S00000X |
| Substance Use Disorder Rehabilitation Clinic/Center | Taxonomy 261QR0405X |
| Recovery Care Clinic/Center | Taxonomy 261QR0800X |
Record details
| NPI number | 1144044728 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Antwone Shaw — Ceo · (502) 322-2065 |
| NPI enumerated | November 11, 2024 |
| Last updated in NPPES | December 10, 2024 |
| Certification date | December 10, 2024 |
| Mailing address | 9508 Yellow Pine Ct, Louisville, KY 40229-1642 |
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Allegiance to Self
3711 W Broadway, Louisville, KY 40211-2847 · (502) 322-2065
-
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