Individual provider · Type 1 NPI

Onyx Raiden

Mental Health Counselor · Georgetown, KY

NPI number 1851266548 Active

Practice location

110 E Main St Ste 103
Georgetown, KY 40324-1780

Call (502) 709-7210 Map

Mailing address

2847 Hikes Ln Apt 3BR
Louisville, KY 40218-1630

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X280850 (KY)

Mental Health Counselor: Definition to come...

2 other providers at this address

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About NPI 1851266548

Onyx Raiden's National Provider Identifier is 1851266548, issued on Oct 10, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Georgetown, KY. The record was last updated on Oct 10, 2025.