Provider Demographics
NPI:1154174506
Name:JOSETTE BEN PERSONAL CONCIERGE
Entity type:Organization
Organization Name:JOSETTE BEN PERSONAL CONCIERGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:VONNIE
Authorized Official - Middle Name:S
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:LPCA
Authorized Official - Phone:502-650-3541
Mailing Address - Street 1:1503 GLENROCK RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40216-4033
Mailing Address - Country:US
Mailing Address - Phone:502-650-3541
Mailing Address - Fax:
Practice Address - Street 1:2109 SCHAFFNER AVE
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40210-2248
Practice Address - Country:US
Practice Address - Phone:502-650-6541
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty