Organization
SAGEBROOK BEHAVIORAL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAY I MIREMBO MD (OWNER)
(859) 489-4126
Entity
Organization
Contact information
Practice address
160 MOORE DR STE 205, LEXINGTON, KY 40503-2951
(859) 457-1904
(859) 214-7634
Mailing address
160 MOORE DR STE 205, LEXINGTON, KY 40503-2951
(859) 489-4126
(859) 214-7634
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7101085640
—
KY
Enumeration date
07/24/2025
Last updated
12/05/2025
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