Provider Demographics
NPI:1548306665
Name:ANODON, INC
Entity type:Organization
Organization Name:ANODON, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DONA
Authorized Official - Middle Name:JOY
Authorized Official - Last Name:AIREY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, LMT
Authorized Official - Phone:502-420-9911
Mailing Address - Street 1:408 VIRGINIA AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40222-4722
Mailing Address - Country:US
Mailing Address - Phone:502-420-9911
Mailing Address - Fax:502-420-9996
Practice Address - Street 1:408 VIRGINIA AVE
Practice Address - Street 2:SUITE B
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40222-4722
Practice Address - Country:US
Practice Address - Phone:502-420-9911
Practice Address - Fax:502-420-9996
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-6381041C0700X
KYKY-1933174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Not Answered174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY208454OtherCOMPPSYCH INS.
KY2136433OtherCIGNA BEHAVIORAL HEALTH
KY178865OtherVALUE OPTIONS
KY1295732485OtherNPI FOR DONA AIREY
KY000000230216OtherBLUE CROSS BLUE SHIELD
KY0578650000OtherMAGELLAN
KYCSW0058Medicare ID - Type Unspecified
KY2136433OtherCIGNA BEHAVIORAL HEALTH