Organization
ANANT INTEGRATED HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVARRES ALEXANDER (CHIEF EXECUTIVE OFFICER)
(980) 777-0586
Entity
Organization
Contact information
Practice address
9913 SHELBYVILLE RD STE 103, LOUISVILLE, KY 40223-2907
(980) 777-0586
Mailing address
9913 SHELBYVILLE RD STE 103, LOUISVILLE, KY 40223-2907
(980) 777-0586
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1144558701
KY
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
1144558701
KY
261QM0850X
Adult Mental Health Clinic/Center
1144558701
KY
261QM0855X
Adolescent and Children Mental Health Clinic/Center
1144558701
KY
Other
Enumeration date
07/26/2018
Last updated
04/20/2021
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