MRS. AILEEN M BRYANT-WALES


Address: 2133 W Market St, Louisville, KY 40212-1532
Phone: 5023845807

MRS. AILEEN M BRYANT-WALES (NPI# 1881166999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881166999
Entity Type Individual
Full Name MRS. AILEEN M BRYANT-WALES
Credential LPCC, TCADC
Practice Address 2133 W Market St
Louisville
KY 40212-1532
Mailing Address 12321 Dominion Way
Louisville
KY 40299-4487
Practice Telephone 5023845807
Practice Fax Number 5023845807
Mailing Telephone 5024179799
Enumeration Date 2018-12-31
Last Update Date 2020-07-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
241211 KY Behavioral Health & Social Service Providers
Y 101YP2500X Counselor
Specialization: Professional
245650 KY Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
KY 7100594570 05

Office Location

Street Address 2133 W MARKET ST
City LOUISVILLE
State KY
Zip Code 40212-1532

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619528387 Darryl D Wales Counselor 2133 W Market St, Louisville, KY 40212-1532 2019-09-24
1477027555 Ladies of Promises Inc. Substance Abuse Rehabilitation Facility 2133 W Market St, Louisville, KY 40212-1532 2019-01-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003433111 Shanita Flanagan Home Health Aide 4519 Southwestern Parkway, Louisville, KY 40212 2020-07-06
1184118887 Denise Goldsmith-kelley Licensed Practical Nurse 2611 Northwestern Pkwy, Louisville, KY 40212 2018-06-18
1477605426 Market St Dental Office Psc Dentist 2410 West Market St, Louisville, KY 40212 2007-01-18
1528118601 Portland Dental Psc Clinic/Center 465 North 26th Street, Louisville, KY 40212 2007-01-11
1790393643 Quality Home Care Services, LLC In Home Supportive Care 4519 Southwestern Parkway, Same, Louisville, KY 40212 2020-07-16
1659884872 New Leaf Clinic Clinic/Center 2910 W Jefferson St, Louisville, KY 40212 2017-11-09
1043670391 Rod Ali Erfani Dentist 2215 Portland Ave, Louisville, KY 40212 2016-02-29
1164754008 Deborah J Moreau Nurse Practitioner 234 Amy Ave, Louisville, KY 40212 2010-02-03
1386778710 Patricia Link Fulkerson Social Worker 2215 Portland Ave, Louisville, KY 40212 2007-03-15
1982617387 Julie R Aull Physician Assistant 234 Amy Ave, Louisville, KY 40212 2006-08-15
Find all providers in zip 40212

Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922625649 Laronica Shonta Lawson Counselor 17127 Piton Way, Louisville, KY 40245-5409 2020-06-29
1295351724 Jonathan Yussman Counselor 3102 Sunfield Cir, Louisville, KY 40241-6514 2020-06-20
1841811478 Geneva Marie Drane Counselor 4316 Lonsdale Ave, Louisville, KY 40215-1036 2020-05-05
1366082059 Ramicha T Smith Counselor 4602 Southern Pkwy Ste 2c, Louisville, KY 40214-1442 2020-01-09
1558904888 Sarah Christine Faulkner Counselor 3801 Beaufort Ln Apt B, Louisville, KY 40207-4454 2019-10-18
1477101103 Far Journeys LLC Counselor 9720 Bunsen Pkwy, Louisville, KY 40299-1802 2019-08-27
1528615689 Candace Cooper Counselor 214 Breckenridge Ln Ste 203, Louisville, KY 40207-3879 2019-08-23
1760036768 Rebecca L Roberts-kerns Counselor 1936 Gardiner Ln Apt 3, Louisville, KY 40205-2858 2019-07-29
1477110906 Lauren Muir Counselor 1860 Mellwood Ave Ste 117, Louisville, KY 40206-1033 2019-05-20
1851956999 Christine Smock Counselor 700 Front St # 106, Louisville, CO 80027-1805 2019-05-03
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Competitor

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City LOUISVILLE
Zip Code 40212

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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