OWENSBORO BEHAVIORAL CARE PSC NPI 1285823971

NPI Information

NPI: 1285823971
Provider Name: OWENSBORO BEHAVIORAL CARE PSC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
920 FREDERICA ST STE 407
OWENSBORO, KY
ZIP 42301
Phone: (270) 316-9616
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OWENSBORO BEHAVIORAL CARE PSC is a professional counselor in Owensboro, KY. OWENSBORO BEHAVIORAL CARE PSC NPI is 1285823971. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

920 FREDERICA ST STE 407
OWENSBORO, KY
ZIP 42301-079
Phone: (270) 316-9616
Fax: (812) 359-4481

The provider's authorized official is Oluwole O Olusola .
The authorized official title is Owner and has the following contact phone number (812) 971-8222.

The enumeration date for this NPI number is 10/17/2007 and was last updated on 2/25/2008.

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	101YP2500X	Counselor	Professional	01045882A	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1605801	MEDICARE PIN	KENTUCKY
2	000000051385	OTHER	KENTUCKY	BC/BS PIN KY
3	64306046	MEDICAID	KENTUCKY
4	F84739	MEDICARE UPIN	KENTUCKY

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: 11/14/2023

NPI Synchronization or Removal

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