Cleanse Clinic, Pllc is a Addiction Psychiatry Clinic in Louisville, Kentucky. It is located at 645 S Roy Wilkins Ave Ste 100, Louisville, KY and its contact number is 502-583-4092. The authorized person for Cleanse Clinic, Pllc is Margaret Groll
who is Business Manager of the clinic and his/her contact number is 812-987-4330. The primary license number for Cleanse Clinic, Pllc is 800212 (Addiction Psychiatry) in Kentucky. Cleanse Clinic, Pllc 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, Pllc 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, Pllc
Specialization:
Addiction Psychiatry
Clinic Address:
645 S Roy Wilkins Ave Ste 100, Louisville, Kentucky, 40203-2072
Phone:
502-583-4092
Fax:
502-371-6110
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:
Margaret Groll
Position:
Business Manager
Contact Number:
812-987-4330
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, Pllc clinic are as mentioned below.
NPI Number:
1659726628
NPI Enumeration Date:
27 Apr, 2016
NPI Last Update On:
13 Aug, 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, Pllc are as mentioned below.
Specialization
License Number
State
Status
Addiction Psychiatry
800212
Kentucky
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
7100413630
Medicaid
Kentucky
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, Pllc 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, Pllc at 645 S Roy Wilkins Ave Ste 100, Louisville, Kentucky or can call to book an appointment on 502-583-4092. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.