Serrano, Victoria
Serrano, Victoria is an individual health care provider with primary practice located at 2215 Portland Ave , Louisville KY 40212-1033. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Serrano, Victoria can be contacted via phone (502) 774-8631.Contact Information
Primary practice address
2215 Portland Ave
Louisville KY 40212-1033
Phone: (502) 774-8631
Fax: (502) 772-8189
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 165648 | Kentucky |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 120007 | Kentucky |
Profile Details
NPI number | 1720111933 |
---|---|
LBN Legal business name | Serrano, Victoria |
Credentials | L.P.C.A., C.A.D.C. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 14th, 2007 |
Last updated | Apr 21st, 2021 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1720111933 | NPPES |
Kentucky | MEDICAID | 7100411600 |
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