# MDB PSYCHIATRIC SERVICES, LLC

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

## Provider details

- **NPI number:** 1396267704
- **Authorized official:** MELISSA BISHOP APRN, PMHNP-BC (APRN)
- **Authorized official phone:** (502) 655-9744

## Contact information

- **Practice address:** 714 LYNDON LN STE 6, LOUISVILLE, KY 40222-4643
- **Practice address phone:** (502) 655-9744
- **Practice address fax:** (502) 653-7428
- **Mailing address:** 4010 DUPONT CIR STE 228, LOUISVILLE, KY 40207-4825
- **Mailing address phone:** (502) 655-9744

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 3008816 | KY | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 07/07/2017
- **Last updated:** 07/21/2022