Organization
SECOND MILE BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAGINA MICHELLE SMITH (OWNER)
(606) 309-3930
Entity
Organization
Contact information
Practice address
280 LEVI JACKSON MILL RD STE A, LONDON, KY 40744-8325
(606) 657-5504
Mailing address
280 LEVI JACKSON MILL RD STE A, LONDON, KY 40744-8325
(606) 657-5504
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/04/2019
Last updated
07/04/2019
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