Organization
PIONEER HEALTH GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMMY ROBINSON (CEO)
(606) 638-0938
Entity
Organization
Contact information
Practice address
125 S MAIN CROSS ST, LOUISA, KY 41230-1065
(606) 638-0938
Mailing address
PO BOX 726, LOUISA, KY 41230-0726
(606) 638-0938
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
—
—
106E00000X
Assistant Behavior Analyst
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
225X00000X
Occupational Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
Other
Enumeration date
07/28/2023
Last updated
11/18/2024
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