# CUMBERLAND FAMILY BEHAVIORAL HEALTH, PLLC

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

## Provider details

- **NPI number:** 1659381580
- **Authorized official:** RAQUEL F. VASQUEZ MD (OWNER)
- **Authorized official phone:** (606) 878-1961

## Contact information

- **Practice address:** 1675 S MAIN ST, LONDON, KY 40741-2050
- **Practice address phone:** (606) 878-1961
- **Practice address fax:** (606) 877-1958
- **Mailing address:** 1675 S MAIN ST, LONDON, KY 40741-2050
- **Mailing address phone:** (606) 878-1961
- **Mailing address fax:** (606) 877-1958

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | 35016 | KY | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 35016 | KY | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 3220P | KY | — |

## Other

- **Enumeration date:** 08/09/2006
- **Last updated:** 01/05/2010