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LOUISVILLE BEHAVIORAL HEALTH SYSTEMS PLLC NPI 1619088549


NPI Information

NPI: 1619088549
Provider Name: LOUISVILLE BEHAVIORAL HEALTH SYSTEMS PLLC
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

CLIA Number: 18D2102748

Address:
3430 NEWBURG RD
SUITE 210
LOUISVILLE, KY
ZIP 40218
Phone: (502) 454-8800
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LOUISVILLE BEHAVIORAL HEALTH SYSTEMS PLLC is a psychiatry psychiatry neurology in Louisville, KY. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. LOUISVILLE BEHAVIORAL HEALTH SYSTEMS PLLC NPI is 1619088549. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3430 NEWBURG RD
SUITE 210
LOUISVILLE, KY
ZIP 40218-497
Phone: (502) 454-8800
Fax: (502) 736-0140

The provider's authorized official is Evelyn Rose Zwanzig .
The authorized official title is Credentialing Specialist and has the following contact phone number (502) 454-8800.

The CLIA number assigned to this NPI record is 18D2102748 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 7/22/2021.


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
11041C0700XSocial WorkerClinicalNo
22084P0800XPsychiatry & NeurologyPsychiatryYes
32084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryNo
4363LP0808XNurse PractitionerPsychiatric/Mental HealthNo

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
17100152610MEDICAIDKENTUCKY
27100041560MEDICAIDKENTUCKY

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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