Northern Kentucky Behavioral, LLC

NPI #1023778594 in Lexington, Kentucky

Provider Information

NPI Number: 1023778594
Entity Type: Organization
Organization Name: Northern Kentucky Behavioral, LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Dec 27, 2021
Last Updated: Apr 29, 2022

Practice Location

Address: 2335 STERLINGTON RD STE 100
City: Lexington
State: Kentucky
ZIP Code: 40517-3937
Phone: (859) 466-0115

Authorized Official

Name: TOM ROURKE ROURKE
Title: SENIOR VICE PRESIDENT CORPORATE DEV
Phone: (197) 246-7446

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X
Psychiatric Hospital	283Q00000X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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