Cleanse Clinic, Pllc
Addiction Psychiatry Clinic
645 S Roy Wilkins Ave Ste 100, Louisville
Kentucky, 40203-2072
502-583-4092 502-371-6110
Maps & DirectionsCleanse 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.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.