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Louisville Behavioral Health Systems PLLC

Psychiatry & Neurology, Psychiatry in Louisville, KY. Organization (NPI-2).

NPI number1619088549
StatusActive
Last updated in NPPESJul 22, 2021

Details

NPI
1619088549
Entity type
Organization (NPI-2)
Legal business name
Louisville Behavioral Health Systems PLLC
Organization subpart
No
Enumeration date
Aug 31, 2006
Certification date
Jul 22, 2021
Last updated
Jul 22, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084P0800X Psychiatry & Neurology, Psychiatry––Yes
1041C0700X Social Worker, Clinical––
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry––
363LP0808X Nurse Practitioner, Psych/Mental Health––

Practice location

3430 Newburg Rd
Suite 210
Louisville, KY 40218-2497

Phone 502-454-8800 · Fax 502-736-0140

Mailing address

3430 Newburg Rd
Suite 210
Louisville, KY 40218-2497

Phone 502-454-8800 · Fax 502-736-0140

Authorized official

Evelyn Rose Zwanzig
Credentialing Specialist
5024548800

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