Organization
PERFECT IMPERFECTIONS KY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORITTA ROBERTS (OWNER)
(859) 382-0203
Entity
Organization
Contact information
Practice address
1018 E NEW CIRCLE RD, LEXINGTON, KY 40505-4145
(859) 368-0003
(859) 368-0027
Mailing address
1018 E NEW CIRCLE RD, LEXINGTON, KY 40505-4145
(859) 368-0003
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100773800
—
KY
Enumeration date
07/07/2021
Last updated
09/10/2025
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