| Second Mile Behavioral Health Llc | |
|
280 Levi Jackson Mill Rd Ste A London KY 40744-8325 | |
| (606) 657-5504 | |
| Not Available |
| Full Name | Second Mile Behavioral Health Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 280 Levi Jackson Mill Rd Ste A, London, Kentucky |
| Authorized Official Name and Position | Lagina Michelle Smith (OWNER) |
| Authorized Official Contact | 6063093930 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Second Mile Behavioral Health Llc 280 Levi Jackson Mill Rd Ste A London KY 40744-8325 Ph: (606) 657-5504 | Second Mile Behavioral Health Llc 280 Levi Jackson Mill Rd Ste A London KY 40744-8325 Ph: (606) 657-5504 |
| NPI Number | 1033771555 |
|---|---|
| Provider Enumeration Date | 07/04/2019 |
| Last Update Date | 07/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033771555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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