| Outreach Behavioral Health | |
|
116 S Cross Main St Springfield KY 40069-1212 | |
| (859) 687-6264 | |
| Not Available |
| Full Name | Outreach Behavioral Health |
|---|---|
| Speciality | Counselor |
| Location | 116 S Cross Main St, Springfield, Kentucky |
| Authorized Official Name and Position | Richard K Lanham (CEO) |
| Authorized Official Contact | 8596876264 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Outreach Behavioral Health 3327 Pottsville Rd Springfield KY 40069-7633 Ph: (859) 319-2900 | Outreach Behavioral Health 116 S Cross Main St Springfield KY 40069-1212 Ph: (859) 687-6264 |
| NPI Number | 1720766298 |
|---|---|
| Provider Enumeration Date | 07/06/2023 |
| Last Update Date | 07/06/2023 |
| Certification Date | 07/06/2023 |
| Medicare PECOS PAC ID | 6709223985 |
|---|---|
| Medicare Enrollment ID | O20240322004051 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720766298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Richard Lanham |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932798576 PECOS PAC ID: 4880031061 Enrollment ID: I20240327003708 |
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