Organization
HARBOR OF HOPE MEDICAL AND BEHAVIORAL HEALTH CARE, LLC
Active
Organization
HARBOR OF HOPE MEDICAL AND BEHAVIORAL HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THELMA JEAN GRAY APRN (APRN/OWNER)
(606) 545-6766
Entity
Organization
Contact information
Practice address
185 TREUHAFT BLVD, SUITE 4, BARBOURVILLE, KY 40906
(606) 546-6766
(606) 545-0366
Mailing address
185 TREUHAFT BLVD, SUITE 4, BARBOURVILLE, KY 40906
(606) 546-6766
(606) 545-0366
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100661760
—
KY
Enumeration date
02/01/2023
Last updated
02/01/2023
Update your record
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