Organization
KVC BEHAVIORAL HEALTHCARE KENTUCKY INC
Active
Parent organization
KVC HEALTH SYSTEMS INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KVC HEALTH SYSTEMS INC
Authorized official
REGINA MARIA KLYACHKIN (AUTHORIZED OFFICIAL/PRESIDENT)
(913) 322-4900
Entity
Organization
Contact information
Practice address
2250 THUNDERSTICK DR STE 1104, LEXINGTON, KY 40505-9009
(859) 254-1035
(859) 254-2075
Mailing address
2250 THUNDERSTICK DR STE 1104, LEXINGTON, KY 40505-9009
(859) 254-1035
(859) 254-2075
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
302R00000X
Health Maintenance Organization
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100283480
—
KY
05
—
7100284110
—
KY
05
—
7100318330
—
KY
Enumeration date
07/11/2011
Last updated
05/21/2021
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