Provider Demographics
NPI:1386284214
Name:AA&ASSOCIATES OF KENTUCKY LLC
Entity type:Organization
Organization Name:AA&ASSOCIATES OF KENTUCKY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SUPERVISOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:JOE
Authorized Official - Last Name:MCDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:LCADC
Authorized Official - Phone:502-896-6900
Mailing Address - Street 1:3038 BRECKENRIDGE LN STE 204
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40220-2195
Mailing Address - Country:US
Mailing Address - Phone:502-896-6900
Mailing Address - Fax:502-896-8607
Practice Address - Street 1:3038 BRECKENRIDGE LN STE 204
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40220-2195
Practice Address - Country:US
Practice Address - Phone:502-896-6900
Practice Address - Fax:502-896-8607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-08
Last Update Date:2020-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty