Provider Demographics
NPI:1538197249
Name:THURMAN, LUANN (LCSW)
Entity type:Individual
Prefix:MS
First Name:LUANN
Middle Name:
Last Name:THURMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9302 NEW LAGRANGE RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40242-3652
Mailing Address - Country:US
Mailing Address - Phone:502-594-9599
Mailing Address - Fax:502-326-3012
Practice Address - Street 1:9302 NEW LAGRANGE RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40242-3652
Practice Address - Country:US
Practice Address - Phone:502-594-9599
Practice Address - Fax:502-326-3012
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY774101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYCSW0112Medicare ID - Type UnspecifiedMEDICARE NUMBER