# GORE BEHAVIORAL CARE, LLC

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

## Provider details

- **NPI number:** 1679032981
- **Authorized official:** CHERYL RENE GORE APRN (OWNER)
- **Authorized official phone:** (270) 938-5765

## Contact information

- **Practice address:** 855 LOVERS LN STE 106, BOWLING GREEN, KY 42103-7989
- **Practice address phone:** (270) 938-5765
- **Practice address fax:** (833) 471-3546
- **Mailing address:** 737 LAURELWOOD CIR, BOWLING GREEN, KY 42103-6008
- **Mailing address phone:** (270) 599-2419

## 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:** 03/16/2019
- **Last updated:** 03/16/2019