# ADVANCED BEHAVIORAL HEALTH, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134663925
- **Authorized official:** DEBRA JOHNSON (RN, APRN)
- **Authorized official phone:** (270) 506-2967

## Contact information

- **Practice address:** 110 HELM STREET, ELIZABETHTOWN, KY 42701-1496
- **Practice address phone:** (270) 506-2967
- **Practice address fax:** (270) 900-1674
- **Mailing address:** 110 HELM STREET, ELIZABETHTOWN, KY 42701-1496
- **Mailing address phone:** (270) 506-2967
- **Mailing address fax:** (270) 900-1674

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/13/2016
- **Last updated:** 03/09/2017