Organization
BEHAVIORAL AND ADDICTION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAGDALEN K MEKOH PMHNP-BC (OWNER)
(859) 705-7770
Entity
Organization
Contact information
Practice address
200 E REYNOLDS RD STE 9, LEXINGTON, KY 40517-1245
(859) 705-7770
Mailing address
717 ROSSLYNS DL, LEXINGTON, KY 40514-1189
(859) 436-5174
(714) 604-1767
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
09/08/2025
Last updated
01/20/2026
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