# OAKS BEHAVIORAL HEALTH PLLC

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

## Provider details

- **NPI number:** 1649744228
- **Authorized official:** TARAH JO MATHEWS APRN, PMHNP (OWNER)
- **Authorized official phone:** (270) 861-0606

## Contact information

- **Practice address:** 100 S BROADWAY ST, GLASGOW, KY 42141-2604
- **Practice address phone:** (270) 861-0606
- **Practice address fax:** (270) 629-2444
- **Mailing address:** 106 W FRONT ST, GLASGOW, KY 42141-2804
- **Mailing address phone:** (270) 590-0622

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/16/2019
- **Last updated:** 05/30/2024