Organization
NEW VISTA OF THE BLUEGRASS INC
Active
Other names
Bluegrass Regional MHMR Board, Bluegrass.org
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEE WERLINE (PRESIDENT/CEO)
(859) 253-1686
Entity
Organization
Contact information
Practice address
322 FRONTIER BOULEVARD, STANFORD, KY 40484
(859) 253-1686
(859) 254-2743
Mailing address
1351 NEWTOWN PIKE, LEXINGTON, KY 40511-1275
(859) 253-1686
(859) 254-2743
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
800121
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000057414
ANTHEM
KY
01
—
091018
VALUE OPTIONS
KY
01
—
101483
CHA INSURANCE
KY
01
—
203581000
MAGELLAN 334
KY
01
—
207023
MHN
KY
01
—
242395
COMPSYCH
KY
05
—
27015015
—
KY
05
—
28015014
—
KY
05
—
29000003
—
KY
05
—
30615058
—
KY
05
—
33900119
—
KY
01
—
874068
USA
KY
Enumeration date
06/13/2006
Last updated
10/12/2020
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