Organization
SHORE SIDE BEHAVIORAL HEALTH SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT BRYANT BENTLEY III DNP, PMHNP-BC (OWNER, CHIEF CLINICIAN)
(606) 498-4367
Entity
Organization
Contact information
Practice address
116 E 4TH AVE, SOUTH SHORE, KY 41175-8927
(606) 498-4367
(606) 826-1780
Mailing address
PO BOX 204, SOUTH SHORE, KY 41175-0204
(606) 498-4367
(606) 826-1780
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
02/02/2026
Last updated
02/02/2026
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