Organization
BHG LXVII, LLC
Active
Organization
BHG LXVII, LLC
Active
Other names
BHG Medical Services - Indiana
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY KILGORE (CEO)
(214) 365-6112
Entity
Organization
Contact information
Practice address
3910 LIMA ROAD, OBOT ROOM 100, FORT WAYNE, IN 46805-1031
(260) 420-6010
(260) 420-9020
Mailing address
5001 SPRING VALLEY RD STE 600, DALLAS, TX 75244-3946
(214) 365-6100
(214) 365-6150
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
08/17/2023
Last updated
09/22/2025
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