| Lincoln Trail Behavioral Health System | |
|
7260 N Dixie Blvd Radcliff KY 40160-8599 | |
| (270) 351-9444 | |
| (270) 351-8980 |
| Full Name | Lincoln Trail Behavioral Health System |
|---|---|
| Speciality | Social Worker |
| Location | 7260 N Dixie Blvd, Radcliff, Kentucky |
| Authorized Official Name and Position | Steve Filton (SR VP CFO) |
| Authorized Official Contact | 6107683300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lincoln Trail Behavioral Health System 3909 S. Wilson Rd. Radcliff KY 40160-8599 Ph: (270) 351-9444 | Lincoln Trail Behavioral Health System 7260 N Dixie Blvd Radcliff KY 40160-8599 Ph: (270) 351-9444 |
| NPI Number | 1851500466 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 04/02/2020 |
| Certification Date | 04/02/2020 |
| Medicare PECOS PAC ID | 2062403017 |
|---|---|
| Medicare Enrollment ID | O20040519001214 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851500466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| Provider Name | Ingrid Hertha Medley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952357774 PECOS PAC ID: 5395770325 Enrollment ID: I20050928001208 |
| Provider Name | Muhammad W Sajid |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801825500 PECOS PAC ID: 3971537317 Enrollment ID: I20080820000532 |
| Provider Name | Sarwat N Mian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629186853 PECOS PAC ID: 8325102296 Enrollment ID: I20090122000136 |
| Provider Name | Angie L Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821174566 PECOS PAC ID: 2860659125 Enrollment ID: I20120130000406 |
| Provider Name | Arun Kaithi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851578579 PECOS PAC ID: 6305005828 Enrollment ID: I20120301000905 |
| Provider Name | Sufian Ahmad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821352824 PECOS PAC ID: 0244529873 Enrollment ID: I20160520000143 |
| Provider Name | Nicole Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912445651 PECOS PAC ID: 6507092947 Enrollment ID: I20170403000183 |
| Provider Name | Amanda Medley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538620356 PECOS PAC ID: 3072855824 Enrollment ID: I20190429000451 |
| Provider Name | Sandra L Aubrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538202817 PECOS PAC ID: 3971917287 Enrollment ID: I20210128000551 |
Family Dynamics Behavioral Health Care Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 299 W Lincoln Trail Blvd, Suite 5, Radcliff, KY 40160 Phone: 270-351-4880 Fax: 270-351-4881 | |
Serenity Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 663 N Dixie Blvd Ste K, Radcliff, KY 40160 Phone: 229-343-1822 Fax: 502-430-2416 | |
Universal Concepts Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 241 Oak Ridge Dr, Radcliff, KY 40160 Phone: 270-351-4859 | |
E.l.y. Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 645 Knox Blvd Ste A, Radcliff, KY 40160 Phone: 270-272-2046 | |
Yellow Sage Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 562 N Dixie Blvd Ste B4, Radcliff, KY 40160 Phone: 270-317-1318 | |
Glimmer Of Hope, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 W Lincoln Trail Blvd, Radcliff, KY 40160 Phone: 270-351-3192 Fax: 270-351-5499 | |
Lincoln Trail Behavioral Health System Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3909 S Wilson Rd, Radcliff, KY 40160 Phone: 270-351-9444 Fax: 270-351-0400 |