IndividualActive
Andrea Mattingly, CSP.RN
NPI 1790141059 · Addiction (Substance Use Disorder) Counselor · Louisville, KY
Provider details
- NPI number
- 1790141059
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- CSP.RN
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
2210 Tucker Station Rd
Louisville, KY 40299-4525
Phone: (502) 366-0705
Approximate (ZIP-level) locationGet directions
Mailing address
101 W Muhammad Ali Blvd
Louisville, KY 40202-1423
Registry dates
- Enumerated
- 2016-01-02
- Last updated
- 2016-01-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.