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
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