Organization
OHIO VALLEY MINDHEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAVENA MCCULLUM NP (OWNER)
(812) 706-9224
Entity
Organization
Contact information
Practice address
6400 PFAFFLIN LAKE BLVD, NEWBURGH, IN 47630-1826
(812) 706-9224
Mailing address
6400 PFAFFLIN LAKE BLVD, NEWBURGH, IN 47630-1826
(812) 706-9224
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/09/2019
Last updated
02/13/2024
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