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EMERALD THERAPY CENTER LLC NPI 1619340387


NPI Information

NPI: 1619340387
Provider Name: EMERALD THERAPY CENTER, LLC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 18D2154617

Address:
5050B VILLAGE SQUARE DR
PADUCAH, KY
ZIP 42001
Phone: (270) 534-5128
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EMERALD THERAPY CENTER, LLC is a community behavioral health in Paducah, 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. EMERALD THERAPY CENTER, LLC NPI is 1619340387. The provider is registered as an organization entity type.

The provider's business location address is:

5050B VILLAGE SQUARE DR
PADUCAH, KY
ZIP 42001-499
Phone: (270) 534-5128
Fax: (270) 558-6365

The provider's authorized official is Shelly Baer .
The authorized official title is Therapist and has the following contact phone number (270) 534-5128.

The CLIA number assigned to this NPI record is 18D2154617 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 11/3/2015 and was last updated on 4/27/2023.


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 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: 4/28/2024

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