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Organization
TELOS HEALTH SYSTEMS KY LLC
Active
Organization
TELOS HEALTH SYSTEMS KY LLC
Active
Other names
Vitae Health Medical Kentucky LLC
Organization subpart
No
Provider details
NPI number
Authorized official
PETER STEVEN BAILEY (CEO)
(609) 480-0119
Entity
Organization
Contact information
Practice address
3500 GOOD SAMARITAN WAY, LOUISVILLE, KY 40299-6117
(201) 217-6777
Mailing address
980 SYLVAN AVE FL 2, ENGLEWOOD CLIFFS, NJ 07632-3320
(201) 217-6777
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
NULL
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
02/06/2020
Last updated
08/31/2026
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