Provider Demographics
NPI:1194283556
Name:CARRIE M. HEUSER, INC
Entity type:Organization
Organization Name:CARRIE M. HEUSER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:MELISSA
Authorized Official - Last Name:HEUSER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:502-594-6671
Mailing Address - Street 1:2507 OLD HICKORY RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40299-2832
Mailing Address - Country:US
Mailing Address - Phone:502-594-6671
Mailing Address - Fax:502-653-7417
Practice Address - Street 1:501 WASHBURN AVE
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40222-4725
Practice Address - Country:US
Practice Address - Phone:502-594-6671
Practice Address - Fax:502-653-7417
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-05
Last Update Date:2019-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty