Provider Demographics
NPI:1073408282
Name:RITCHIE, KATHLEEN DENISE (BSW, CADC)
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:DENISE
Last Name:RITCHIE
Suffix:
Gender:F
Credentials:BSW, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 BONNIE LN
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40218-3209
Mailing Address - Country:US
Mailing Address - Phone:502-797-8408
Mailing Address - Fax:
Practice Address - Street 1:11518 MAIN ST
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40243-1316
Practice Address - Country:US
Practice Address - Phone:270-229-6402
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)