OrganizationActive
Louisville Integrated Care
NPI 1669093647 · Addiction Medicine (Family Medicine) Physician · Louisville, KY
Provider details
- NPI number
- 1669093647
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michelle Hicks, Owner(502) 612-6981
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Behavioral Health & Social Service Providers
- Peer Specialist175T00000X
Other Service Providers
- Obstetrics & Gynecology Physician207V00000X
Allopathic & Osteopathic Physicians
- Case Management Agency251B00000X
Agencies
Practice location
1151 S 4th St Ste 208
Louisville, KY 40203-3101
Phone: (502) 612-6981
Approximate (ZIP-level) locationGet directions
Mailing address
1151 S 4th St Ste 208
Louisville, KY 40203-3101
Registry dates
- Enumerated
- 2020-05-01
- Last updated
- 2020-07-09
- Certified
- 2020-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.