Provider Demographics
NPI:1689229791
Name:DONAL SALCHLI LLC
Entity type:Organization
Organization Name:DONAL SALCHLI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DONAL
Authorized Official - Middle Name:
Authorized Official - Last Name:SALCHLI
Authorized Official - Suffix:
Authorized Official - Credentials:LPCA
Authorized Official - Phone:502-229-1392
Mailing Address - Street 1:306 W MAIN ST STE 600
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:KY
Mailing Address - Zip Code:40601-1856
Mailing Address - Country:US
Mailing Address - Phone:502-229-1392
Mailing Address - Fax:864-752-1214
Practice Address - Street 1:306 W MAIN ST STE 600
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601-1856
Practice Address - Country:US
Practice Address - Phone:502-229-1392
Practice Address - Fax:864-752-1214
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-06
Last Update Date:2020-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty