ADVANCED BEHAVIORAL HEALTH PLLC NPI 1134663925

NPI Information

NPI: 1134663925
Provider Name: ADVANCED BEHAVIORAL HEALTH, PLLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

CLIA Number: 18D2126716

Address:
110 HELM STREET
ELIZABETHTOWN, KY
ZIP 42701
Phone: (270) 506-2967
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ADVANCED BEHAVIORAL HEALTH, PLLC is a psychiatric/mental health nurse practitioner in Elizabethtown, KY. ADVANCED BEHAVIORAL HEALTH, PLLC NPI is 1134663925. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

110 HELM STREET
ELIZABETHTOWN, KY
ZIP 42701-496
Phone: (270) 506-2967
Fax: (270) 900-1674

The provider's authorized official is Debra Johnson .
The authorized official title is Rn, Aprn and has the following contact phone number (270) 506-2967.

The CLIA number assigned to this NPI record is 18D2126716 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/13/2016 and was last updated on 3/9/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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