OrganizationActive
Family & Children Behavior Health Services Psc
NPI 1699079053 · Child & Adolescent Psychiatry Physician · Louisville, KY
Provider details
- NPI number
- 1699079053
- Entity type
- Organization
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Varanise Booker, President(502) 777-7708
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
Practice location
302 E Breckinridge St
Louisville, KY 40203-2328
Phone: (502) 777-7708
Approximate (ZIP-level) locationGet directions
Mailing address
302 E Breckinridge St
Louisville, KY 40203-2328
Registry dates
- Enumerated
- 2010-12-28
- Last updated
- 2010-12-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.