Organization
BLUEGRASS BEHAVIORAL HEALTH & CONSULTING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNDA CARTER APRN, PMHNP-BC (CEO)
(859) 274-6414
Entity
Organization
Contact information
Practice address
601 DOE RUN DR STE 5, MT STERLING, KY 40353-9097
(859) 432-3055
(859) 432-3044
Mailing address
601 DOE RUN DR STE 5, MT STERLING, KY 40353-9097
(859) 432-3055
(859) 432-3044
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100806770
—
KY
Enumeration date
09/21/2021
Last updated
08/13/2022
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