| Surpass Behavioral Health | |
|
1048 Ashley St Ste 101 Bowling Green KY 42103-2449 | |
| (615) 696-6761 | |
| (615) 880-5782 |
| Full Name | Surpass Behavioral Health |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1048 Ashley St Ste 101, Bowling Green, Kentucky |
| Authorized Official Name and Position | Jessica Kirk (REVENUE CYCLE MANAGER) |
| Authorized Official Contact | 6158805782 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Surpass Behavioral Health Po Box 931142 Atlanta GA 31193-1142 Ph: (615) 696-6761 | Surpass Behavioral Health 1048 Ashley St Ste 101 Bowling Green KY 42103-2449 Ph: (615) 696-6761 |
| NPI Number | 1275813222 |
|---|---|
| Provider Enumeration Date | 08/23/2011 |
| Last Update Date | 09/19/2023 |
| Certification Date | 09/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275813222 | NPI | - | NPPES |
| 7100174590 | Other | KY | SCL WAIVER |
| 7100215710 | Medicaid | KY |
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