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Organization
GREY STREET COLLABORATIVE LLC
Active
Organization
GREY STREET COLLABORATIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY MAUREEN BAKER APRN (OWNER)
(502) 667-0321
Entity
Organization
Contact information
Practice address
1931 BEASLEY LN, CAMPBELLSBURG, KY 40011-6700
(502) 667-0321
(972) 928-6614
Mailing address
1931 BEASLEY LN, CAMPBELLSBURG, KY 40011-6700
(502) 667-0321
(972) 928-6614
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/09/2026
Last updated
09/09/2026
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