BLUEGRASS BEHAVIORAL HEALTH & CONSULTING SERVICES NPI 1578234449

NPI Information

NPI: 1578234449
Provider Name: BLUEGRASS BEHAVIORAL HEALTH & CONSULTING SERVICES
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
601 DOE RUN DR STE 5
MT STERLING, KY
ZIP 40353
Phone: (859) 432-3055
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BLUEGRASS BEHAVIORAL HEALTH & CONSULTING SERVICES is a psychiatric/mental health nurse practitioner in Mt Sterling, KY. BLUEGRASS BEHAVIORAL HEALTH & CONSULTING SERVICES NPI is 1578234449. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

601 DOE RUN DR STE 5
MT STERLING, KY
ZIP 40353-097
Phone: (859) 432-3055
Fax: (859) 432-3044

The provider's authorized official is Shawnda Carter .
The authorized official title is Ceo and has the following contact phone number (859) 274-6414.

The enumeration date for this NPI number is 9/21/2021 and was last updated on 8/13/2022.

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	Primary
1	101YP2500X	Counselor	Professional	No
2	101Y00000X	Counselor		No
3	1041C0700X	Social Worker	Clinical	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	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	7100806770	MEDICAID	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: 5/5/2024

NPI Synchronization or Removal

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