Organization
BINGHAM BEHAVIORAL HEALTH CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIAN BINGHAM LCADC (OWNER)
(859) 545-9752
Entity
Organization
Contact information
Practice address
417 KNOX ST STE 3, BARBOURVILLE, KY 40906-1342
(606) 545-9752
Mailing address
417 KNOX ST STE 3, BARBOURVILLE, KY 40906-1342
(606) 545-9752
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
810285
OFFICE OF INSPECTOR GENERAL
KY
05
—
PENDING
—
KY
Enumeration date
12/22/2020
Last updated
01/11/2021
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