Cc Behavioral Health
Counselor, Mental Health in Corbin, KY. Organization (NPI-2).
NPI number1265239602
StatusActive
Last updated in NPPESMar 25, 2025
Details
- NPI
- 1265239602
- Entity type
- Organization (NPI-2)
- Legal business name
- Cc Behavioral Health
- Organization subpart
- No
- Enumeration date
- Feb 25, 2025
- Certification date
- Feb 25, 2025
- Last updated
- Mar 25, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 101YP2500X | Counselor, Professional | – | – | |
| 1041C0700X | Social Worker, Clinical | – | – | |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
244 Holly Grove RdCorbin, KY 40701-4427
Phone 606-620-4404 · Fax 606-620-4410
Mailing address
244 Holly Grove RdCorbin, KY 40701-4427
Phone 606-620-4404 · Fax 606-620-4410
Authorized official
Cymbre Lin Patrick
Owner
6066204404
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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