| Sakura Behavioral Health Llc | |
|
125 Quinn Dr Nicholasville KY 40356-1370 | |
| (859) 241-3085 | |
| (877) 712-3835 |
| Full Name | Sakura Behavioral Health Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 125 Quinn Dr, Nicholasville, Kentucky |
| Authorized Official Name and Position | Jessica Lynn Speelman (CO-OWNER/CLINICAL COUNSELOR) |
| Authorized Official Contact | 8593549360 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sakura Behavioral Health Llc 125 Quinn Dr Nicholasville KY 40356-1370 Ph: (859) 241-3085 | Sakura Behavioral Health Llc 125 Quinn Dr Nicholasville KY 40356-1370 Ph: (859) 241-3085 |
| NPI Number | 1326663766 |
|---|---|
| Provider Enumeration Date | 06/11/2020 |
| Last Update Date | 10/28/2020 |
| Certification Date | 10/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326663766 | NPI | - | NPPES |
| 7100677110 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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