Organization · Type 2 NPI
Black Butterfly Growth Center, LLC
Psychiatric/Mental Health Nurse Practitioner · Louisville, KY
NPI number
1003612698
Active
Practice location
1017 Baxter Ave Ste 1
Louisville, KY 40204-1605
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1003612698
Black Butterfly Growth Center, LLC's National Provider Identifier is 1003612698, issued on Feb 24, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Louisville, KY. The record was last updated on Feb 24, 2025.