Organization
BEST LIFE MENTAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE SANDERS (CREDENTIALING ADMINISTRATOR)
(502) 630-2036
Entity
Organization
Contact information
Practice address
4169 WESTPORT RD STE 103, LOUISVILLE, KY 40207-2747
(502) 333-9466
Mailing address
4169 WESTPORT RD STE 103, LOUISVILLE, KY 40207-2747
(502) 333-9466
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
264391
LICENSE
KY
Enumeration date
09/25/2020
Last updated
12/07/2021
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