| Best Life Mental Health Services Llc | |
|
4169 Westport Rd Ste 103 Louisville KY 40207-2747 | |
| (502) 333-9466 | |
| Not Available |
| Full Name | Best Life Mental Health Services Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4169 Westport Rd Ste 103, Louisville, Kentucky |
| Authorized Official Name and Position | Jacqueline Sanders (CREDENTIALING ADMINISTRATOR) |
| Authorized Official Contact | 5026302036 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Best Life Mental Health Services Llc 4169 Westport Rd Ste 103 Louisville KY 40207-2747 Ph: (502) 333-9466 | Best Life Mental Health Services Llc 4169 Westport Rd Ste 103 Louisville KY 40207-2747 Ph: (502) 333-9466 |
| NPI Number | 1417564220 |
|---|---|
| Provider Enumeration Date | 09/25/2020 |
| Last Update Date | 12/07/2021 |
| Certification Date | 12/07/2021 |
| Medicare PECOS PAC ID | 9335539097 |
|---|---|
| Medicare Enrollment ID | O20211213000494 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417564220 | NPI | - | NPPES |
| 264391 | Other | KY | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Martha Suzanne Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760006217 PECOS PAC ID: 8022418201 Enrollment ID: I20210609001570 |
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