| New Vista Of The Bluegrass Inc | |
|
1315 Gabbardtown Rd Berea KY 40403-9278 | |
| (859) 253-1686 | |
| Not Available |
| Full Name | New Vista Of The Bluegrass Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1315 Gabbardtown Rd, Berea, Kentucky |
| Authorized Official Name and Position | Dee Werline (PRESIDENT/CEO) |
| Authorized Official Contact | 8592531686 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Vista Of The Bluegrass Inc 1351 Newtown Pike Lexington KY 40511-1275 Ph: (859) 253-1686 | New Vista Of The Bluegrass Inc 1315 Gabbardtown Rd Berea KY 40403-9278 Ph: (859) 253-1686 |
| NPI Number | 1619237542 |
|---|---|
| Provider Enumeration Date | 05/25/2012 |
| Last Update Date | 10/12/2020 |
| Certification Date | 10/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619237542 | NPI | - | NPPES |
| 091018 | Other | KY | VALUE OPTIONS |
| 101483 | Other | KY | CHA INSURANCE |
| 1790731081 | Medicaid | KY | |
| 242395 | Other | KY | COMPSYCH |
| 874068 | Other | KY | USA |
| 28015014 | Medicaid | KY | |
| 000000057414 | Other | KY | ANTHEM |
| 203544000 | Other | KY | MAGELLAN |
| 270151015 | Medicaid | KY | |
| 29000003 | Medicaid | KY | |
| 207023 | Other | KY | MHN |
| 33900119 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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