Organization
ADVANCED BEHAVIORAL HEALTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA JOHNSON (RN, APRN)
(270) 506-2967
Entity
Organization
Contact information
Practice address
110 HELM STREET, ELIZABETHTOWN, KY 42701-1496
(270) 506-2967
(270) 900-1674
Mailing address
110 HELM STREET, ELIZABETHTOWN, KY 42701-1496
(270) 506-2967
(270) 900-1674
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/13/2016
Last updated
03/09/2017
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