Organization
HARBOR OF HOPE MEDICAL AND BEHAVIORAL HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THELMA JEAN GRAY APRN (APRN/OWNER)
(606) 545-6766
Entity
Organization
Contact information
Practice address
185 TREUHAFT BLVD, STE 4, BARBOURVILLE, KY 40906-8300
(606) 545-6766
(606) 545-0366
Mailing address
868 SAM PARKER RD, GRAY, KY 40734-6780
(606) 269-3428
(606) 545-0366
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100663490
—
KY
Enumeration date
07/23/2020
Last updated
01/30/2023
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