| Behavioral Health & Wellness Center | |
|
3175 Custer Dr Suite 200 Lexington KY 40517-4023 | |
| (859) 273-1288 | |
| (859) 273-1278 |
| Full Name | Behavioral Health & Wellness Center |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3175 Custer Dr, Lexington, Kentucky |
| Authorized Official Name and Position | Dana L. Landry (OWNER/PROVIDER) |
| Authorized Official Contact | 8592731288 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health & Wellness Center 3175 Custer Dr Suite 200 Lexington KY 40517-4023 Ph: (859) 273-1288 | Behavioral Health & Wellness Center 3175 Custer Dr Suite 200 Lexington KY 40517-4023 Ph: (859) 273-1288 |
| NPI Number | 1790057313 |
|---|---|
| Provider Enumeration Date | 01/27/2012 |
| Last Update Date | 08/23/2019 |
| Medicare PECOS PAC ID | 7810157161 |
|---|---|
| Medicare Enrollment ID | O20120326000112 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790057313 | NPI | - | NPPES |
| Provider Name | Mary C Norman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669422390 PECOS PAC ID: 0840248464 Enrollment ID: I20050112000086 |
| Provider Name | Ila R Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043315625 PECOS PAC ID: 5890879035 Enrollment ID: I20080226000595 |
| Provider Name | Dana Landry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437361755 PECOS PAC ID: 4880733146 Enrollment ID: I20091125000361 |
| Provider Name | Marc H Plavin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568425502 PECOS PAC ID: 4688837875 Enrollment ID: I20120525000570 |
| Provider Name | Kara L Stebbins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861626996 PECOS PAC ID: 1759515778 Enrollment ID: I20131007000892 |
| Provider Name | Stephen J Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063514990 PECOS PAC ID: 0042599532 Enrollment ID: I20161128002605 |
| Provider Name | Charlotte A Hazeltine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437245826 PECOS PAC ID: 3072864560 Enrollment ID: I20180921002500 |
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