Provider Demographics
NPI:1518598085
Name:LONGNAKER, CHASE ARTHUR (MSC, MFT ASSOCIATE)
Entity type:Individual
Prefix:MR
First Name:CHASE
Middle Name:ARTHUR
Last Name:LONGNAKER
Suffix:
Gender:M
Credentials:MSC, MFT ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1215 ORMSBY LN
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40222-3862
Mailing Address - Country:US
Mailing Address - Phone:502-523-7863
Mailing Address - Fax:833-953-0891
Practice Address - Street 1:8106 RED STONE HILL RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40214-4614
Practice Address - Country:US
Practice Address - Phone:502-257-5576
Practice Address - Fax:833-953-0891
Is Sole Proprietor?:No
Enumeration Date:2020-02-03
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY173543106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist