Organization
OLIVER WINSTON BEHAVIORAL URGENT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DHAVAL PATEL (OWNER)
(859) 309-8737
Entity
Organization
Contact information
Practice address
1618 HARRODSBURG RD, LEXINGTON, KY 40504-3706
(859) 444-5790
(859) 444-5791
Mailing address
2220 EXECUTIVE DR STE 101, LEXINGTON, KY 40505-4871
(859) 309-8737
(859) 444-5791
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
2084P0800X
Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100442110
—
KY
01
—
810727
AODE
KY
Enumeration date
09/09/2016
Last updated
01/31/2023
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