OrganizationActive
Family & Children Behavior Health Service Psc
NPI 1831433655 · Child & Adolescent Psychiatry Physician · Louisville, KY
Provider details
- NPI number
- 1831433655
- Entity type
- Organization
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Varanise Booker, President/Owner(502) 561-1112
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
302 E Breckinridge St
Louisville, KY 40203-2328
Phone: (502) 561-1112
Fax: (502) 561-1113
Approximate (ZIP-level) locationGet directions
Mailing address
302 E Breckinridge St
Louisville, KY 40203-2328
Registry dates
- Enumerated
- 2012-11-16
- Last updated
- 2012-11-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.