# BLUEGRASS BEHAVIORAL HEALTH & CONSULTING SERVICES

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

## Provider details

- **NPI number:** 1578234449
- **Authorized official:** SHAWNDA CARTER APRN, PMHNP-BC (CEO)
- **Authorized official phone:** (859) 274-6414

## Contact information

- **Practice address:** 601 DOE RUN DR STE 5, MT STERLING, KY 40353-9097
- **Practice address phone:** (859) 432-3055
- **Practice address fax:** (859) 432-3044
- **Mailing address:** 601 DOE RUN DR STE 5, MT STERLING, KY 40353-9097
- **Mailing address phone:** (859) 432-3055
- **Mailing address fax:** (859) 432-3044

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 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:** 09/21/2021
- **Last updated:** 08/13/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7100806770 | — | KY |