Provider Demographics
NPI:1588377568
Name:2NOT1: FATHERHOOD & FAMILIES, INC
Entity type:Organization
Organization Name:2NOT1: FATHERHOOD & FAMILIES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGIA
Authorized Official - Middle Name:ANNETTE
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:502-509-9637
Mailing Address - Street 1:PO BOX 2791
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40201-2791
Mailing Address - Country:US
Mailing Address - Phone:502-509-9637
Mailing Address - Fax:
Practice Address - Street 1:1600 W SAINT CATHERINE ST
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40210-2442
Practice Address - Country:US
Practice Address - Phone:502-509-9637
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-04
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No175T00000XOther Service ProvidersPeer SpecialistGroup - Single Specialty
No251B00000XAgenciesCase Management
No251V00000XAgenciesVoluntary or Charitable
No251X00000XAgenciesSupports Brokerage