WANDA SYLLA (NPI# 1972963551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972963551 |
| Entity Type | Individual |
| Full Name | WANDA SYLLA |
| Practice Address |
1811 Standard Ave Louisville KY 40210-1639 |
| Practice Telephone | 5024130102 |
| Mailing Telephone | 5024130102 |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2016-02-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YP1600X |
Counselor Specialization: Pastoral |
Behavioral Health & Social Service Providers |
| Street Address |
1811 STANDARD AVE |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40210-1639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932505427 | Corner of Hope Recovery Center | Substance Abuse Rehabilitation Facility | 1811 Standard Ave, Louisville, KY 40210-1639 | 2014-11-10 |
| 1104286681 | Ralph Broussard | Counselor | 1811 Standard Ave, Louisville, KY 40210-1639 | 2016-02-26 |
| 1477912145 | Gregg Edwards | Counselor | 1811 Standard Ave, Louisville, KY 40210-1639 | 2016-02-23 |
| 1114386893 | Daniel Ray Jr. | Counselor | 1811 Standard Ave, Louisville, KY 40210-1639 | 2016-02-23 |
| 1790144418 | Chad Carter | Counselor | 1811 Standard Ave, Louisville, KY 40210-1639 | 2016-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568919322 | Drjbcdc | Chiropractor | 1714 Dixie Hwy, Louisville, KY 40210 | 2016-09-08 |
| 1194900100 | Mahyar Mofidi | Dentist | 1480 Dixie Hwy, Louisville, KY 40210 | 2008-01-09 |
| 1962552042 | Dixie Dental Center Psc | Clinic/Center | 1480 Dixie Hwy, Louisville, KY 40210 | 2007-01-11 |
| 1528494770 | Valerie Gholson Day | Marriage & Family Therapist | 1620 Anderson St, Louisville, KY 40210-1032 | 2013-09-19 |
| 1851821532 | Heart 2 Heart Veterans Care | Nurse's Aide | 2518 Osage Ave, Louisville, KY 40210-1116 | 2017-06-15 |
| 1588127310 | Klf Company LLC | Community/Behavioral Health | 1833 Date St, Louisville, KY 40210-1245 | 2019-04-09 |
| 1407305998 | Prorehab Louisville | Clinic/Center | 902 S 15th St, Louisville, KY 40210-1319 | 2016-09-26 |
| 1568070480 | Stimar Healthcare LLC | Nurse Practitioner | 2111 W Oak St, Louisville, KY 40210-1419 | 2020-07-16 |
| 1982240115 | Geri Ann Thomas | Nurse Practitioner | 2228 Hale Ave, Louisville, KY 40210-1436 | 2019-11-22 |
| 1649747882 | Tanika L. Owens | Kinesiotherapist | 1022 Dumesnil St., Louisville, KY 40210-1517 | 2018-10-25 |
| Find all providers in zip 40210 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700496569 | Nicole Kristina Doza | Counselor | 9720 Park Plaza Ave Unit 104, Louisville, KY 40241-2289 | 2020-08-06 |
| 1447860572 | Jordan Mceuen | Counselor | 645 S Roy Wilkins Ave Ste 100, Louisville, KY 40203-2072 | 2020-08-04 |
| 1023633674 | Ky Behavioral Solutions | Counselor | 12700 Townepark Way Ste 341, Louisville, KY 40243-2381 | 2020-06-10 |
| 1386284214 | Aa&associates of Kentucky LLC | Counselor | 3038 Breckenridge Ln Ste 204, Louisville, KY 40220-2195 | 2020-01-08 |
| 1861039661 | Campbellsville University | Counselor | 4420 Dixie Hwy Ste 230, Louisville, KY 40216-2986 | 2019-11-30 |
| 1720642374 | Yolanda Carnessali-powell | Counselor | 1448 S 15th St, Louisville, KY 40210-1838 | 2019-04-30 |
| 1538622295 | Stephanie Amber Gentile | Counselor | 1169 Eastern Pkwy Ste 1124, Louisville, KY 40217-1462 | 2019-04-10 |
| 1881166999 | Aileen M Bryant-wales | Counselor | 2133 W Market St, Louisville, KY 40212-1532 | 2018-12-31 |
| 1043710338 | Erin Dawn Jarrett | Counselor | 1939 Goldsmith Ln Ste 147, Louisville, KY 40218-3047 | 2018-02-13 |
| 1265946859 | Yolonda J Armstead | Counselor | 12730 Townepark Way Ste 201, Louisville, KY 40243-2303 | 2017-11-19 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40210 |
Please comment or provide details below to improve the information on WANDA SYLLA.
| 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.