| Ally Behavioral Health Llc | |
|
1616 N Main St Hazard KY 41701-1251 | |
| (888) 920-9004 | |
| Not Available |
| Full Name | Ally Behavioral Health Llc |
|---|---|
| Speciality | Clinic/center - Methadone |
| Location | 1616 N Main St, Hazard, Kentucky |
| Authorized Official Name and Position | Shawn Smith (PRESIDENT) |
| Authorized Official Contact | 7753000282 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ally Behavioral Health Llc 1890 Star Shoot Pkwy Ste 170-101 Lexington KY 40509-4566 Ph: (888) 920-9004 | Ally Behavioral Health Llc 1616 N Main St Hazard KY 41701-1251 Ph: (888) 920-9004 |
| NPI Number | 1649090804 |
|---|---|
| Provider Enumeration Date | 10/14/2024 |
| Last Update Date | 10/22/2024 |
| Certification Date | 10/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649090804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 261QM2800X | Clinic/center - Methadone | (* (Not Available)) | Primary |
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