Colectivo Surya Mental Wellness

LBN: Surya Mental Wellness Llc
Colectivo Surya Mental Wellness is an health care organization with primary practice located at 1939 Goldsmith Ln Ste 260 , Louisville KY 40218-3174. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Other Service Providers / Interpreter. Behavioral Health & Social Service Providers / Professional is the primary health care specialty. Surya Mental Wellness Llc can be contacted via phone (502) 519-7979, or through Thomas, Norma via phone (502) 519-7979.

Contact Information

Primary practice address
1939 Goldsmith Ln Ste 260 Louisville KY 40218-3174
Phone: (502) 519-7979
Fax: (502) 792-7274
Website:
Map and Directions
Authorized official contact:
Name: Thomas, Norma LPCA, CVE, M.ED.
Phone: (502) 519-7979

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Other Service Providers / Interpreter 171R00000X

Profile Details

NPI number 1184208696
LBN Legal business name Surya Mental Wellness Llc
DBA Doing business as Colectivo Surya Mental Wellness
Authorized official Thomas, Norma LPCA, CVE, M.ED.
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2021
Last updated Nov 14th, 2023 - about 2 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 1184208696 NPPES
Kentucky MEDICAID 7100756220

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