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Organization
APPALACHIAN MENTAL HEALTH AND ADDICTION RECOVERY
Active
Organization
APPALACHIAN MENTAL HEALTH AND ADDICTION RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA BARGO PMHNP (AUTHORIZED OFFICIAL)
(606) 546-0053
Entity
Organization
Contact information
Practice address
4671 S US HIGHWAY 25E, BIMBLE, KY 40915-6112
(606) 546-0053
(606) 545-0497
Mailing address
4671 S US HIGHWAY 25E, BIMBLE, KY 40915-6112
(606) 546-0053
(606) 545-0497
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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