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LAKE CUMBERLAND REG MHMR BOARD RUSSELL ADH NPI 1467589259


NPI Information

NPI: 1467589259
Provider Name: LAKE CUMBERLAND REG MHMR BOARD RUSSELL ADH

Doing Business As: ADANTA GROUP RUSSELL ADH

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 18D1035012

Address:
259 PARKERS MILL RD
SOMERSET, KY
ZIP 42501
Phone: (606) 679-4782
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LAKE CUMBERLAND REG MHMR BOARD RUSSELL ADH is a community behavioral health in Somerset, KY. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. LAKE CUMBERLAND REG MHMR BOARD RUSSELL ADH NPI is 1467589259. The provider is registered as an organization entity type.
The provider Is Doing Business As Adanta Group Russell Adh.

The provider's business location address is:

259 PARKERS MILL RD
SOMERSET, KY
ZIP 42501-152
Phone: (606) 679-4782
Fax: (606) 678-5296

The provider's authorized official is Jack Lewis .
The authorized official title is Hr Director and has the following contact phone number (606) 679-4782.

The CLIA number assigned to this NPI record is 18D1035012 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/27/2007 and was last updated on 8/22/2020.


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
1251S00000XCommunity/Behavioral HealthYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.