Mr. John S Gravitt
Addiction Counselor (Substance Use Disorder)
1028 Barret Ave
Louisville
, Kentucky 40204-1667
Mr. John S Gravitt
Addiction Counselor (Substance Use Disorder)
1028 Barret Ave
Louisville
, Kentucky 40204-1667
(502) 451-1337
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Mr. John S Gravitt
- 1028 Barret Ave
- Louisville, KY
- Zip : 40204-1667
- Fax : (502) 451-1337
- Phone : (502) 451-1221
Second Address
- Mr. John S Gravitt
- 1028 Barret Ave
- Louisville, KY
- Zip : 40204-1667
- Fax : (502) 451-1337
- Phone : (502) 451-1221
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | KY-1150 | KY |
National Provider Identifier
| NPI | 1013030634 |
|---|---|
| Provider Name | Mr. John S Gravitt |
| First Address | Louisville, KY 40204-1667 |
| Second Address | Louisville, KY 40204-1667 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/04/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.