| Access Behavioral Health Inc | |
|
3801 Springhurst Blvd Ste 101 Louisville KY 40241-6137 | |
| (502) 394-0101 | |
| (502) 425-4275 |
| Full Name | Access Behavioral Health Inc |
|---|---|
| Speciality | Psychologist |
| Location | 3801 Springhurst Blvd, Louisville, Kentucky |
| Authorized Official Name and Position | Ronda L Mancini (OWNER) |
| Authorized Official Contact | 5023940101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Access Behavioral Health Inc 3801 Springhurst Blvd Ste 101 Louisville KY 40241-6137 Ph: (502) 394-0101 | Access Behavioral Health Inc 3801 Springhurst Blvd Ste 101 Louisville KY 40241-6137 Ph: (502) 394-0101 |
| NPI Number | 1649208331 |
|---|---|
| Provider Enumeration Date | 06/29/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7012040819 |
|---|---|
| Medicare Enrollment ID | O20100730000332 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649208331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LCSW726 (Kentucky) | Primary |
| 103T00000X | Psychologist | KY1228 (Kentucky) | Primary |
| Provider Name | Ronald D Dobbs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396770988 PECOS PAC ID: 1355255282 Enrollment ID: I20050421001004 |
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