Organization
FAMILY DYNAMICS BEHAVIORAL HEALTH CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE EDWARD HEY (LCSW)
(270) 351-4880
Entity
Organization
Contact information
Practice address
299 W LINCOLN TRAIL BLVD, SUITE 5, RADCLIFF, KY 40160-3305
(270) 351-4880
(270) 351-4881
Mailing address
299 W LINCOLN TRAIL BLVD, SUITE 5, RADCLIFF, KY 40160-3305
(270) 351-4880
(270) 351-4881
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1041C0700X
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82001355
—
KY
Enumeration date
11/07/2007
Last updated
11/09/2007
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