Organization
NEW BEGINNINGS, BLUEGRASS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANITA LAKES LPP (ASSISTANT DIRECTOR)
(859) 245-2400
Entity
Organization
Contact information
Practice address
1353 W MAIN ST STE 100, LEXINGTON, KY 40508-2065
(859) 245-2400
(859) 245-2443
Mailing address
1353 W MAIN ST STE 100, LEXINGTON, KY 40508-2065
(859) 245-2400
(859) 245-2443
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
11/19/2021
Last updated
11/19/2021
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