Restoration House

LBN: Mdc2 Llc
Restoration House is an health care organization with primary practice located at 9319 Taylorsville Rd , Louisville KY 40299-1737. The organization 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 the primary health care specialty. Mdc2 Llc can be contacted via phone (502) 618-1201, or through Conley, Marydora via phone (502) 618-1201.

Contact Information

Primary practice address
9319 Taylorsville Rd Louisville KY 40299-1737
Phone: (502) 618-1201
Fax: (502) 618-2609
Website:
Map and Directions
Authorized official contact:
Name: Conley, Marydora LMFT/LCSW
Phone: (502) 618-1201

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1966 Kentucky
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0575 Kentucky

Profile Details

NPI number 1346431335
LBN Legal business name Mdc2 Llc
DBA Doing business as Restoration House
Authorized official Conley, Marydora LMFT/LCSW
Entity Organization
Organization subpart 1 No
Enumeration date Aug 6th, 2007
Last updated Dec 23rd, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346431335 NPPES
Kentucky Other 1649473133 INDIVIDUAL NPI

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