Anna Behavioral Services, Llc | |
3105 Halls Hill Rd Crestwood KY 40014-9523 | |
(502) 777-2397 | |
(502) 808-6024 |
Full Name | Anna Behavioral Services, Llc |
---|---|
Speciality | Behavior Analyst |
Location | 3105 Halls Hill Rd, Crestwood, Kentucky |
Authorized Official Name and Position | Samantha Lewis (OWNER) |
Authorized Official Contact | 5027772397 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Anna Behavioral Services, Llc 2100 Liberty Rd Lexington KY 40509-4319 Ph: (502) 777-2397 | Anna Behavioral Services, Llc 3105 Halls Hill Rd Crestwood KY 40014-9523 Ph: (502) 777-2397 |
NPI Number | 1609385236 |
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Provider Enumeration Date | 09/26/2017 |
Last Update Date | 04/10/2023 |
Certification Date | 04/10/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609385236 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | 165432 (Kentucky) | Primary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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