Cleanse Clinic Jeffersonville Llc
Addiction Psychiatry Clinic
1700 State St, New Albany
Indiana, 47150-4916
812-914-7038 812-748-6035
Maps & DirectionsCleanse Clinic Jeffersonville Llc is a Addiction Psychiatry Clinic in New Albany, Indiana. This organization is also known as sub part of Cleanse Clinic Corporation. It is located at 1700 State St, New Albany, IN and its contact number is 812-914-7038. The authorized person for Cleanse Clinic Jeffersonville Llc is Abdul G Buridi
who is Ceo of the clinic and his/her contact number is 502-773-5088. The primary license number for Cleanse Clinic Jeffersonville Llc is 1784-0-ASO (Addiction Psychiatry) in Indiana.
Cleanse Clinic Jeffersonville Llc Clinic focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
Complete Clinic Profile:
Cleanse Clinic Jeffersonville Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Cleanse Clinic Jeffersonville Llc |
| Specialization: | Addiction Psychiatry |
| Clinic Address: | 1700 State St, New Albany,
Indiana, 47150-4916 |
| Phone: | 812-914-7038 |
| Fax: | 812-748-6035 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Abdul G Buridi |
| Position: | Ceo |
| Contact Number: | 502-773-5088 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Cleanse Clinic Jeffersonville Llc clinic are as mentioned below.
| NPI Number: | 1942728472 |
| Parent Organization: | Cleanse Clinic Corporation |
| NPI Enumeration Date: | 05 Sep, 2017 |
| NPI Last Update On: | 31 Jan, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Cleanse Clinic Jeffersonville Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Addiction Psychiatry | 1784-0-ASO | Indiana | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 300008912 | Medicaid | Indiana | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Cleanse Clinic Jeffersonville Llc
720 W Broadway Ste 202,
Louisville, Kentucky |
| Zip: | 40202-3245 |
| Phone Number: | 502-561-0943 |
| Fax Number: | 502-561-0944 |
Patients can reach Cleanse Clinic Jeffersonville Llc at
1700 State St, New Albany, Indiana or can
call to book an appointment on 812-914-7038.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.