Organization
ADVANCED BEHAVIORAL WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA JANE ADKINSON (OFFICE MANAGER)
(270) 898-4044
Entity
Organization
Contact information
Practice address
5050 VILLAGE SQUARE DR STE B, PADUCAH, KY 42001-7552
(270) 898-4044
(270) 898-4045
Mailing address
5050 VILLAGE SQUARE DR STE B, PADUCAH, KY 42001-7552
(270) 898-4044
(270) 898-4045
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
05/14/2024
Last updated
11/12/2024
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