| Dbt Center Of Western Kentucky, Llc | |
|
1300 Andrea St Suite 205 Bowling Green KY 42104-3382 | |
| (270) 904-2260 | |
| (270) 781-9680 |
| Full Name | Dbt Center Of Western Kentucky, Llc |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 1300 Andrea St, Bowling Green, Kentucky |
| Authorized Official Name and Position | Joshua M Smith (OWNER) |
| Authorized Official Contact | 2709042260 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dbt Center Of Western Kentucky, Llc 1300 Andrea St Suite 205 Bowling Green KY 42104-3382 Ph: (270) 904-2260 | Dbt Center Of Western Kentucky, Llc 1300 Andrea St Suite 205 Bowling Green KY 42104-3382 Ph: (270) 904-2260 |
| NPI Number | 1518235183 |
|---|---|
| Provider Enumeration Date | 12/09/2011 |
| Last Update Date | 01/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518235183 | NPI | - | NPPES |
| 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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