Archie, Eva

Archie, Eva is an sole proprietor health care provider with primary practice located at 3934 Dixie Hwy Ste 330 , Louisville KY 40216-4170. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Marriage & Family Therapist, Other Service Providers / Peer Specialist, Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Archie, Eva can be contacted via phone (502) 409-4357.

Contact Information

Primary practice address
3934 Dixie Hwy Ste 330 Louisville KY 40216-4170
Phone: (502) 409-4357
Fax: (502) 873-5048
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 164871 Kentucky
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 4101007322 Michigan
Other Service Providers / Peer Specialist 175T00000X Kentucky
Agencies / Community/Behavioral Health 251S00000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 162990 Kentucky

Profile Details

NPI number 1194144956
LBN Legal business name Archie, Eva
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2014
Last updated Jan 20th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194144956 NPPES
Kentucky MEDICAID 7100381410

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