Brock Family Therapy Center Inc.

LBN: Brock Family Therapy Center Inc.
Brock Family Therapy Center Inc. is an health care organization with primary practice located at 10300 Brookridge Village Blvd Suite 104, Louisville KY 40291. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty. Brock Family Therapy Center Inc. can be contacted via phone (502) 785-4322, or through Brock, Angela C via phone (502) 785-4322.

Contact Information

Primary practice address
10300 Brookridge Village Blvd Suite 104 Louisville KY 40291
Phone: (502) 785-4322
Fax: (502) 785-4433
Website:
Map and Directions
Authorized official contact:
Name: Brock, Angela C LCSW, LMFT, MBA
Phone: (502) 785-4322

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 3035 Kentucky
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X 0617 Kentucky

Profile Details

NPI number 1609250992
LBN Legal business name Brock Family Therapy Center Inc.
DBA Doing business as
Authorized official Brock, Angela C LCSW, LMFT, MBA
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2015
Last updated Aug 21st, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609250992 NPPES
Kentucky MEDICAID 7100068240

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