ROBERT DOUGLAS CSA CERTIFICATION
NPI 1730973330
Counselor - Mental Health in Louisville, KY
Active since April 08, 2025
About Robert Douglas Csa Certification NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROBERT DOUGLAS CSA CERTIFICATION (NPI 1730973330) is an individual mental health provider in Louisville, Kentucky and active in the NPI registry since April 2025.
NPPES Registry Identity
NPI1730973330
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameROBERT DOUGLASCredential: CSA CERTIFICATION
Location Address3721 RIVER PARK DRLouisville, KY 40211-3024
Mailing Address11900 Boydton CtLouisville, KY 40245-1807 · (502) 579-3236
Phone(502) 609-0034
Sole ProprietorNo
Enumeration DateApril 8, 2025
NPPES CertifiedApril 8, 2025
✔ NPI 1730973330 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3721 RIVER PARK DR, Louisville, KY 40211
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730973330, enumerated as an "individual" on April 08, 2025.
The provider is located at 3721 RIVER PARK DR LOUISVILLE, KY 40211 and the phone number is (502) 609-0034.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.