Organization
ALC RESOURCES LLC
Active
Organization
ALC RESOURCES LLC
Active
Other names
Central Kentucky Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
ANN S GILES (OWNER)
(859) 219-2828
Entity
Organization
Contact information
Practice address
1055 WELLINGTON WAY, SUITE 110, LEXINGTON, KY 40513
(859) 219-2822
(859) 219-2825
Mailing address
1055 WELLINGTON WAY, SUITE 275, LEXINGTON, KY 40513-1259
(859) 219-2828
(859) 219-0524
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
21505
KY
2084P0804X
Child & Adolescent Psychiatry Physician
30090
KY
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100004650
—
KY
05
—
78903937
—
KY
Enumeration date
06/13/2006
Last updated
10/09/2013
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