Organization
PANACEA HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS LOUIS HALL LADC, CADC, CCS (OWNER)
(502) 229-4017
Entity
Organization
Contact information
Practice address
140 KINGS DAUGHTERS DRIVE SUITE 400, FRANKFORT, KY 40601
(502) 699-2885
(502) 699-2890
Mailing address
140 KINGS DAUGHTERS DRIVE SUITE 400, FRANKFORT, KY 40601
(502) 699-2885
(502) 699-2890
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
—
Other
Enumeration date
11/04/2021
Last updated
12/07/2022
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