Organization
ETHAS
Active
Parent organization
SOMERSET MENTAL HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOMERSET MENTAL HEALTH
Authorized official
JASON THAYER LCSW (EXECUTIVE DIRECTOR)
(606) 679-6995
Entity
Organization
Contact information
Practice address
149 ENTERPRISE DR, SOMERSET, KY 42501-6155
(606) 679-6995
(606) 451-9465
Mailing address
149 ENTERPRISE DR, SOMERSET, KY 42501-6155
(606) 679-6995
(606) 451-9465
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
7100190490
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100190490
—
KY
Enumeration date
06/24/2014
Last updated
06/24/2014
Update your record
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