BLANFORD PEDIATRIC THERAPY LLC NPI 1093220741

NPI Information

  • NPI: 1093220741
  • Provider Name: BLANFORD PEDIATRIC THERAPY LLC
  • Classification: Social Worker - 104100000X
  • Entity Type: Organization
  • Doing Business As: LEMON-AID MENTAL HEALTH SERVICES
  • Address: 201 S 5TH ST
    BARDSTOWN, KY
    ZIP 40004
  • Phone: (502) 331-5478

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NPI Details

BLANFORD PEDIATRIC THERAPY LLC is a social worker in Bardstown, KY. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. BLANFORD PEDIATRIC THERAPY LLC NPI is 1093220741. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lemon-aid Mental Health Services.

The provider's business location address is:

201 S 5TH ST
BARDSTOWN, KY
ZIP 40004-142
Phone: (502) 331-5478
Fax: (502) 385-0234

The provider's authorized official is Angie Boltwood .
The authorized official title is Billing Manager and has the following contact phone number (770) 530-9051.

The enumeration date for this NPI number is 12/4/2017 and was last updated on 8/31/2023.

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
1103T00000XPsychologistNo
2101Y00000XCounselorNo
3103K00000XBehavior AnalystNo
4106E00000XAssistant Behavior AnalystNo
5104100000XSocial WorkerYes

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
17100424590MEDICAIDKENTUCKY

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: 11/21/2025

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