Organization
UNIVERSAL BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID L. CARTER (CREDENTIALING MANAGER)
(859) 737-0904
Entity
Organization
Contact information
Practice address
101 MEDICAL HEIGHTS DR, FRANKFORT, KY 40601-4137
(502) 696-9543
Mailing address
PO BOX 896, WINCHESTER, KY 40392-0896
(859) 737-0904
(859) 737-0902
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
553866000
MAGELLAN
KY
05
—
64059132
—
KY
Enumeration date
08/29/2006
Last updated
02/21/2013
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