Organization
FM HEALING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARDAR N KHAN (MANAGING MEMBER)
(561) 779-2123
Entity
Organization
Contact information
Practice address
1042 CENTER DR, SUITE 100, RICHMOND, KY 40475-3838
(859) 575-1518
(502) 808-6077
Mailing address
1042 CENTER DR STE 100, RICHMOND, KY 40475-3838
(859) 575-1518
(502) 808-6077
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
207Q00000X
Family Medicine Physician
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
810478
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100378250
—
KY
Enumeration date
07/28/2015
Last updated
09/09/2025
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