Organization
ESTES BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA L ESTES APRN-NP (OWNER)
(270) 295-6450
Entity
Organization
Contact information
Practice address
1210 4TH ST, LEWISPORT, KY 42351-2526
(270) 295-6450
(270) 295-6452
Mailing address
PO BOX 297, 1210 4TH STREET, LEWISPORT, KY 42351-0297
(270) 295-6450
(270) 295-6452
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3004576
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100325350
—
KY
Enumeration date
09/17/2012
Last updated
07/01/2015
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