Organization
BRIDGEHAVEN, INC.
Active
Other names
Bridgehaven Mental Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RAMONA L JOHNSON ARNP, CS (PRESIDENT/CEO)
(502) 585-9444
Entity
Organization
Contact information
Practice address
950 S 1ST ST, LOUISVILLE, KY 40203-2288
(502) 585-9444
(502) 585-9466
Mailing address
950 S 1ST ST, LOUISVILLE, KY 40203-2288
(502) 585-9444
(502) 585-9466
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
800159
KY
251V00000X
Voluntary or Charitable Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
213150000
MAGELLAN
KY
05
—
30606099
—
KY
01
—
318961
VALUE OPTIONS
KY
05
—
7100340960
—
KY
Enumeration date
08/29/2006
Last updated
03/10/2016
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