Organization
APPALACHIAN MENTAL HEALTH AND ADDICTION RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA BARGO PMHNP (AUTHORIZED OFFICIAL)
(606) 546-0053
Entity
Organization
Contact information
Practice address
4671 S US HIGHWAY 25E, BIMBLE, KY 40915-6112
(606) 546-0053
(606) 545-0497
Mailing address
4671 S US HIGHWAY 25E, BIMBLE, KY 40915-6112
(606) 546-0053
(606) 545-0497
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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