Provider Demographics
NPI:1154564540
Name:ENRICH COUNSELING CENTER, PLLC
Entity type:Organization
Organization Name:ENRICH COUNSELING CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL COUNSELOR/PRACTIC OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUNITA
Authorized Official - Middle Name:SRIVASTAVA
Authorized Official - Last Name:BHATNAGAR
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:502-403-1090
Mailing Address - Street 1:8401 SHELBYVILLE RD
Mailing Address - Street 2:SUITE 208
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40222-5586
Mailing Address - Country:US
Mailing Address - Phone:502-403-1090
Mailing Address - Fax:502-403-1074
Practice Address - Street 1:8401 SHELBYVILLE RD
Practice Address - Street 2:SUITE 208
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40222-5586
Practice Address - Country:US
Practice Address - Phone:502-403-1090
Practice Address - Fax:502-403-1074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-14
Last Update Date:2009-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-0601101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty