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Organization
SHORE SIDE BEHAVIORAL HEALTH SERVICE, LLC
Active
Organization
SHORE SIDE BEHAVIORAL HEALTH SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT BRYANT BENTLEY III DNP, PMHNP-BC (OWNER, CHIEF CLINICIAN)
(606) 498-4367
Entity
Organization
Contact information
Practice address
116 E 4TH AVE, SOUTH SHORE, KY 41175-8927
(606) 498-4367
(606) 826-1780
Mailing address
PO BOX 204, SOUTH SHORE, KY 41175-0204
(606) 498-4367
(606) 826-1780
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
02/02/2026
Last updated
02/02/2026
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