| Stellar Behavioral Health Llc | |
|
1718 Alexandria Dr Ste 102 Lexington KY 40504-3144 | |
| (859) 347-2412 | |
| Not Available |
| Full Name | Stellar Behavioral Health Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1718 Alexandria Dr Ste 102, Lexington, Kentucky |
| Authorized Official Name and Position | Robert Acker (OWNER) |
| Authorized Official Contact | 8129627894 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stellar Behavioral Health Llc 7145 E Virginia St Ste 2000 Evansville IN 47715-9147 Ph: () - | Stellar Behavioral Health Llc 1718 Alexandria Dr Ste 102 Lexington KY 40504-3144 Ph: (859) 347-2412 |
| NPI Number | 1821870213 |
|---|---|
| Provider Enumeration Date | 10/19/2023 |
| Last Update Date | 01/17/2025 |
| Certification Date | 01/17/2025 |
| Medicare PECOS PAC ID | 7911440458 |
|---|---|
| Medicare Enrollment ID | O20241030003522 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821870213 | NPI | - | NPPES |
| Provider Name | John E Pappas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922219294 PECOS PAC ID: 0042341158 Enrollment ID: I20100706000079 |
| Provider Name | Lisa G Highland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053757591 PECOS PAC ID: 2062654007 Enrollment ID: I20130805000264 |
| Provider Name | Somer K Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902353980 PECOS PAC ID: 4284991753 Enrollment ID: I20171208001492 |
| Provider Name | Linda Russell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376934869 PECOS PAC ID: 6901227172 Enrollment ID: I20200527001278 |
| Provider Name | Jessica Brooke Houchins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780333187 PECOS PAC ID: 6709249873 Enrollment ID: I20230823001975 |
| Provider Name | Kelly Nicole Locknane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447815857 PECOS PAC ID: 9739614058 Enrollment ID: I20241123000392 |
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