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Organization

BHG LVIII, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAY HIGHAM (CEO)
(214) 365-6112
Entity
Organization

Contact information

Practice address
628 JEFFERSON AVE, PAINTSVILLE, KY 41240-1471
(606) 789-6966
Mailing address
5001 SPRING VALLEY ROAD, SUITE 600 EAST, DALLAS, TX 75244-8217
(214) 365-6100

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
207RA0401X
Addiction Medicine (Internal Medicine) Physician
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
363L00000X
Nurse Practitioner

Other

Enumeration date
05/27/2022
Last updated
09/27/2024
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