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

Community Support Outreach Agency LLC

Organization Mental Health Counselor · NPI 1134006109

Community Support Outreach Agency LLC is a Mental Health Counselor in Louisville, Kentucky. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
8
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1827 W Broadway
Louisville, KY 40203-3547
Phone: (502) 963-5792
Fax: (502) 653-7063
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Mental Health Counselor Taxonomy 101YM0800X
Clinical Social Worker Taxonomy 1041C0700X
Marriage & Family Therapist Taxonomy 106H00000X
Peer Specialist Taxonomy 175T00000X
Case Management Agency Taxonomy 251B00000X
Community/Behavioral Health Agency Taxonomy 251S00000X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X

Record details

NPI number1134006109
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lashonda Robertson — Owner · (502) 612-5495
NPI enumeratedAugust 20, 2025
Last updated in NPPESAugust 20, 2025
Certification dateAugust 20, 2025
Mailing address11126 Compass Ave, Louisville, KY 40229-8391

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