Provider Demographics
NPI:1083504112
Name:GAINING REALISTIC OUTLOOKS WITH THERAPEUTIC HEALING COUNSELING LLC
Entity type:Organization
Organization Name:GAINING REALISTIC OUTLOOKS WITH THERAPEUTIC HEALING COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KENNETHA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:MALONE
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC-S
Authorized Official - Phone:502-819-8016
Mailing Address - Street 1:8403 TAPESTRY CIR UNIT 201
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40222-8309
Mailing Address - Country:US
Mailing Address - Phone:502-819-8016
Mailing Address - Fax:
Practice Address - Street 1:8403 TAPESTRY CIR UNIT 201
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40222-8309
Practice Address - Country:US
Practice Address - Phone:502-819-8016
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty