SAFE HARBOR MENTAL HEALTH NPI 1679042279

NPI Information

NPI: 1679042279
Provider Name: SAFE HARBOR MENTAL HEALTH
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
33 JACKS LN
SOMERSET, KY
ZIP 42501
Phone: (606) 679-0014
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SAFE HARBOR MENTAL HEALTH is an adult mental health clinic center in Somerset, KY. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. SAFE HARBOR MENTAL HEALTH NPI is 1679042279. The provider is registered as an organization entity type.

The provider's business location address is:

33 JACKS LN
SOMERSET, KY
ZIP 42501-152
Phone: (606) 679-0014
Fax: (606) 679-0024

The provider's authorized official is Katherine L Tillery .
The authorized official title is Owner and has the following contact phone number (859) 868-8186.

The enumeration date for this NPI number is 11/13/2018 and was last updated on 11/13/2018.

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
1	261QM0850X	Clinic/Center	Adult 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	1992721773	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: 11/14/2023

NPI Synchronization or Removal

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