Organization · NPI-2

Anant Integrated Health Services, LLC

Community/Behavioral Health · Louisville, KY

NPI number1275010753
StatusActive
Last updated in NPPESApr 20, 2021

Details

NPI
1275010753
Entity type
Organization (NPI-2)
Legal business name
Anant Integrated Health Services, LLC
Organization subpart
No
Enumeration date
Jul 26, 2018
Certification date
Apr 20, 2021
Last updated
Apr 20, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health1144558701KYYes
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)1144558701KY
261QM0850X Clinic/Center, Adult Mental Health1144558701KY
261QM0855X Clinic/Center, Adolescent and Children Mental Health1144558701KY

Practice location

9913 Shelbyville Rd Ste 103
Louisville, KY 40223-2907

Phone 980-777-0586

Mailing address

9913 Shelbyville Rd Ste 103
Louisville, KY 40223-2907

Phone 980-777-0586

Other practice locations

104 Brigadoon Pkwy
Lexington, KY 40517-1305

Phone 980-777-0586

Authorized official

Davarres Alexander
Chief Executive Officer
9807770586

Is something wrong?

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