Northern Kentucky Behavioral, LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Lexington, KY. Organization (NPI-2).
NPI number1023778594
StatusActive
Last updated in NPPESApr 29, 2022
Details
- NPI
- 1023778594
- Entity type
- Organization (NPI-2)
- Legal business name
- Northern Kentucky Behavioral, LLC
- Organization subpart
- No
- Enumeration date
- Dec 27, 2021
- Certification date
- Apr 29, 2022
- Last updated
- Apr 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – | |
| 283Q00000X | Psychiatric Hospital | – | – |
Other names
- Sun Behavioral Health (Doing Business As)
Practice location
2335 Sterlington Rd Ste 100Lexington, KY 40517-3937
Phone 859-466-0115 · Fax 859-578-2875
Mailing address
820 Dolwick DrErlanger, KY 41018-2774
Phone 859-466-0115 · Fax 859-578-2875
Authorized official
Tom Rourke Rourke
Senior Vice President Corporate Dev
1972467446
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