# FAMILY & CHILDREN BEHAVIOR HEALTH SERVICES PSC

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

## Provider details

- **NPI number:** 1699079053
- **Authorized official:** DR. VARANISE COLBERT BOOKER M.D. (PRESIDENT)
- **Authorized official phone:** (502) 777-7708

## Contact information

- **Practice address:** 302 E BRECKINRIDGE ST, LOUISVILLE, KY 40203-2328
- **Practice address phone:** (502) 777-7708
- **Mailing address:** 302 E BRECKINRIDGE ST, LOUISVILLE, KY 40203-2328
- **Mailing address phone:** (502) 777-7708

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/28/2010
- **Last updated:** 12/28/2010