# DBT CENTER OF WESTERN KENTUCKY, LLC

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

## Provider details

- **NPI number:** 1518235183
- **Authorized official:** JOSHUA M SMITH LMSW BCD (OWNER)
- **Authorized official phone:** (270) 904-2260

## Contact information

- **Practice address:** 1300 ANDREA ST, SUITE 205, BOWLING GREEN, KY 42104-3382
- **Practice address phone:** (270) 904-2260
- **Practice address fax:** (270) 781-9680
- **Mailing address:** 1300 ANDREA ST, SUITE 205, BOWLING GREEN, KY 42104-3382
- **Mailing address phone:** (270) 904-2260
- **Mailing address fax:** (270) 781-9680

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/09/2011
- **Last updated:** 01/20/2015