# GRACE BEHAVIORAL HEALTH LLC

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

## Provider details

- **NPI number:** 1629577622
- **Authorized official:** AMBER SURVANT APRN (OWNER)
- **Authorized official phone:** (270) 240-2320

## Contact information

- **Practice address:** 100 W 3RD ST STE 305, OWENSBORO, KY 42303-4129
- **Practice address phone:** (270) 240-2320
- **Practice address fax:** (270) 228-0573
- **Mailing address:** 100 W 3RD ST STE 305, OWENSBORO, KY 42303-4129
- **Mailing address phone:** (270) 240-2320
- **Mailing address fax:** (270) 228-0573

## Taxonomy

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

## Other

- **Enumeration date:** 02/05/2018
- **Last updated:** 02/05/2018