BHG LVIII LLC NPI 1689414245

NPI Information

  • NPI: 1689414245
  • Provider Name: BHG LVIII, LLC
  • Classification: Psychiatry & Neurology - 2084A0401X
  • Specialization: Addiction Medicine
  • Entity Type: Organization
  • CLIA Number: 18D2307572
  • Address: 2645 LEITCHFIELD ROAD
    SUITE #104, OBOT ROOM 100
    ELIZABETHTOWN, KY
    ZIP 42701
  • Phone: (270) 234-8180

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NPI Details

BHG LVIII, LLC is an addiction medicine psychiatry neurology in Elizabethtown, KY. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine BHG LVIII, LLC NPI is 1689414245. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2645 LEITCHFIELD ROAD
SUITE #104, OBOT ROOM 100
ELIZABETHTOWN, KY
ZIP 42701
Phone: (270) 234-8180

The provider's authorized official is Jay Higham .
The authorized official title is Ceo and has the following contact phone number (214) 365-6112.

The CLIA number assigned to this NPI record is 18D2307572 - other - office based opioid treat with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/30/2024 and was last updated on 9/27/2024.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2207QA0401XFamily MedicineAddiction MedicineNo
3207RA0401XInternal MedicineAddiction MedicineNo
42083A0300XPreventive MedicineAddiction MedicineNo
52084A0401XPsychiatry & NeurologyAddiction MedicineYes
6261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
7363L00000XNurse PractitionerNo

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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