MRS. SHANNON METCALF DERRICK LPCC
NPI 1861764011
Counselor - Professional in Louisville, KY
Active since February 03, 2012
1100 E MARKET ST, AFTERCARE PROGRAM, LOUISVILLE, KY 40206(502) 596-1323(502) 596-1416 Get Directions Write a Review
About Mrs. Shannon Metcalf Derrick Lpcc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SHANNON METCALF DERRICK LPCC (NPI 1861764011) is an individual professional provider in Louisville, Kentucky, licensed in Kentucky (0949) and active in the NPI registry since February 2012.
NPPES Registry Identity
NPI1861764011
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. SHANNON METCALF DERRICKCredential: LPCC
Location Address1100 E MARKET ST, AFTERCARE PROGRAMLouisville, KY 40206-1838
Mailing Address1100 E Market St, Aftercare ProgramLouisville, KY 40206-1838 · (502) 596-1323 · Fax (502) 596-1416
Phone(502) 596-1323
Fax(502) 596-1416
Sole ProprietorNo
Enumeration DateFebruary 3, 2012
✔ NPI 1861764011 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in KY · 0949
1100 E MARKET ST, Louisville, KY 40206
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861764011, enumerated as an "individual" on February 03, 2012.
The provider is located at 1100 E MARKET ST AFTERCARE PROGRAM LOUISVILLE, KY 40206 and the phone number is (502) 596-1323.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
