Mandala House is a Psychology Clinic in Louisville, Kentucky. It is located at 633 Baxter Ave, Louisville, KY and its contact number is 502-309-2408. The authorized person for Mandala House is Dr. Jacks Gilles
who is Executive Director of the clinic and his/her contact number is 502-309-2403. Mandala House Clinic specialize in psychological testing and evaluating or assessing patient's personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning. Accordingly, psychologists performs counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy. Psychologists can diagnose and treat mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability by psycheducational evaluation, therapy, remediation, and consultation.
Complete Clinic Profile:
Mandala House Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Mandala House
Specialization:
General Psychology
Clinic Address:
633 Baxter Ave, Louisville, Kentucky, 40204-1157
Phone:
502-309-2408
Fax:
502-771-4283
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:
Dr. Jacks Gilles
Position:
Executive Director
Contact Number:
502-309-2403
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 Mandala House clinic are as mentioned below.
NPI Number:
1659829760
NPI Enumeration Date:
18 Sep, 2016
NPI Last Update On:
30 Sep, 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 Mandala House are as mentioned below.
Specialization
License Number
State
Status
Clinical
Primary
Psychologist
Secondary
Counseling
Secondary
Clinical
Secondary
Marriage & Family Therapist
Secondary
Psychiatry
Secondary
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
1659829760
Other
Kentucky
Npi
7100489150
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:
Mandala House 633 Baxter Ave, Louisville, Kentucky
Zip:
40204-1157
Phone Number:
502-309-2403
Fax Number:
502-771-4283
Patients can reach Mandala House at 633 Baxter Ave, Louisville, Kentucky or can call to book an appointment on 502-309-2408. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.