Organization
BEALL RECOVERY CLINICS
Active
Other names
Beall Recovery Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY OSBORNE (OWNER)
(859) 385-4093
Entity
Organization
Contact information
Practice address
1145 W LEXINGTON AVE STE C, WINCHESTER, KY 40391-1290
(859) 385-4093
(859) 355-4058
Mailing address
1145 W LEXINGTON AVE STE C, WINCHESTER, KY 40391-1290
(859) 385-4093
(859) 355-4058
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100621660
—
KY
Enumeration date
08/14/2019
Last updated
02/03/2025
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