Provider Demographics
NPI:1649327347
Name:STONE, JAMES E (MDIV, LSW, LMFT)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:E
Last Name:STONE
Suffix:
Gender:M
Credentials:MDIV, LSW, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 GARDINER LN STE 314
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40205-2949
Mailing Address - Country:US
Mailing Address - Phone:502-459-3802
Mailing Address - Fax:502-473-1957
Practice Address - Street 1:2100 GARDINER LN STE 314
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40205-2949
Practice Address - Country:US
Practice Address - Phone:502-459-3802
Practice Address - Fax:502-473-1957
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0118106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist