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Organization

MCB BEHAVIORAL HEALTH, P.L.L.C.

Active
Find providers by NPI
Organization

MCB BEHAVIORAL HEALTH, P.L.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARIANA BELVEDERE PH.D. (CLINICAL PSYCHOLOGIST)
(859) 426-7800
Entity
Organization

Contact information

Practice address
503 CENTRE VIEW BLVD, CRESTVIEW HILLS, KY 41017-3444
(859) 426-7800
(859) 426-7804
Mailing address
503 CENTRE VIEW BLVD, CRESTVIEW HILLS, KY 41017-3444
(859) 426-7800
(859) 426-7804

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
KY-1304
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000343674
ANTHEM BEHAVIORAL HEALTH
KY
01
11585564
CAQH
KY
05
89000863
KY
Enumeration date
08/05/2007
Last updated
08/05/2007
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