Most Relevant Information
Provider Data
NPI Number: | 1003010224 |
Provider Name: | SAMANTHA PERKINS |
Entity Type: | Individual |
Taxonomy Code: | 101Y00000X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 06/12/2007 |
Last Updated: | 06/09/2011 |
Provider Practice Location
130 S JOE B. HALL AVE
SHEPHERDSVILLE
KY
401650690
Practice Location Phone/Fax
Phone: | 5025898600 |
Fax: | 5025898771 |
Provider Mailing Location
101 W MUHAMMAD ALI BLVD
LOUISVILLE
KY
402021423
Provider Mailing Phone/Fax
Phone: | |
Fax: |