| Bluegrass Behavioral Health Services Llc | |
|
527 Marsailles Rd Ste 3 Versailles KY 40383-1911 | |
| (859) 251-4353 | |
| (859) 251-4253 |
| Full Name | Bluegrass Behavioral Health Services Llc |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 527 Marsailles Rd Ste 3, Versailles, Kentucky |
| Authorized Official Name and Position | Toccara C Coleman (BILLING SPECIALIST) |
| Authorized Official Contact | 8592514353 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluegrass Behavioral Health Services Llc 229 S Stourbridge Rd Versailles KY 40383-2001 Ph: (859) 494-1421 | Bluegrass Behavioral Health Services Llc 527 Marsailles Rd Ste 3 Versailles KY 40383-1911 Ph: (859) 251-4353 |
| NPI Number | 1700494598 |
|---|---|
| Provider Enumeration Date | 07/17/2020 |
| Last Update Date | 04/01/2021 |
| Certification Date | 04/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700494598 | NPI | - | NPPES |
| 71006679420 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
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