Organization
MERIDIAN BEHAVIORAL HEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WARREN E LAMBERT PH.D (OWNER)
(502) 409-6993
Entity
Organization
Contact information
Practice address
4010 DUPONT CIR STE 419, LOUISVILLE, KY 40207-4812
(502) 653-9019
Mailing address
4010 DUPONT CIR STE 419, LOUISVILLE, KY 40207-4837
(502) 409-6993
(502) 409-6993
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427569219
STATE
KY
Enumeration date
10/19/2017
Last updated
09/23/2019
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