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DEACONESS CROSS POINTE CENTER LLC NPI 1558396689


NPI Information

NPI: 1558396689
Provider Name: DEACONESS CROSS POINTE CENTER, LLC

Other Name: DEACONESS CROSS POINTE-OWENSBORO

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
920 FREDERICA ST
OWENSBORO, KY
ZIP 42301
Phone: (270) 686-8984
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DEACONESS CROSS POINTE CENTER, LLC is a mental health counselor in Owensboro, KY. DEACONESS CROSS POINTE CENTER, LLC NPI is 1558396689. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Deaconess Cross Pointe-owensboro.

The provider's business location address is:

920 FREDERICA ST
OWENSBORO, KY
ZIP 42301-050
Phone: (270) 686-8984
Fax: (270) 689-0054

The provider's authorized official is David Morris .
The authorized official title is Ceo and has the following contact phone number (812) 476-7200.

The enumeration date for this NPI number is 7/11/2006 and was last updated on 3/10/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologistNo
21041C0700XSocial WorkerClinicalNo
3101YM0800XCounselorMental HealthYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100156MEDICARE PINKENTUCKY
265940413MEDICAIDKENTUCKY
37494MEDICARE ID-TYPE UNSPECIFIEDKENTUCKY
400157MEDICARE PINKENTUCKY
5CA8823MEDICARE PINKENTUCKY

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

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