Fontenot, Nancy M

Fontenot, Nancy M is an individual health care provider with primary practice located at 939 Baxter Ave , Louisville KY 40204-2046. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Fontenot, Nancy M can be contacted via phone (502) 456-4773.

Contact Information

Primary practice address
939 Baxter Ave Louisville KY 40204-2046
Phone: (502) 456-4773
Fax: (502) 456-9472
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0024 Kentucky
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0173 Kentucky

Profile Details

NPI number 1992701882
LBN Legal business name Fontenot, Nancy M
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1992701882 NPPES
Kentucky MEDICAID 82000241

Popular Providers