Conley, Marydora

Conley, Marydora is an sole proprietor health care provider with primary practice located at 516 Academy Ridge Pl , Louisville KY 40245-3934. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Conley, Marydora can be contacted via phone (502) 500-1553.

Contact Information

Primary practice address
516 Academy Ridge Pl Louisville KY 40245-3934
Phone: (502) 500-1553
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1966 Kentucky
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 105233 Kentucky
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1966 Kentucky

Profile Details

NPI number 1649473133
LBN Legal business name Conley, Marydora
Credentials LMFT, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2007
Last updated Feb 1st, 2019 - about 7 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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