Provider Demographics
NPI:1528494770
Name:DAY, VALERIE GHOLSON (LMFT)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:GHOLSON
Last Name:DAY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 E BRECKINRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40203-2555
Mailing Address - Country:US
Mailing Address - Phone:502-551-8012
Mailing Address - Fax:502-254-9554
Practice Address - Street 1:1620 ANDERSON ST
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40210-1032
Practice Address - Country:US
Practice Address - Phone:502-224-5445
Practice Address - Fax:502-324-7057
Is Sole Proprietor?:No
Enumeration Date:2013-09-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY173040OtherBOARD OF LICENSURE FOR MARRIAGE AND FAMILY THERAPISTS