Alcantara Ocampo, Gustavo

Alcantara Ocampo, Gustavo is an individual health care provider with primary practice located at 330 Hope St , Mt Washington KY 40047-7757. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Alcantara Ocampo, Gustavo can be contacted via phone (502) 538-1000.

Contact Information

Primary practice address
330 Hope St Mt Washington KY 40047-7757
Phone: (502) 538-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 265677 Kentucky
Behavioral Health & Social Service Providers / Professional 101YP2500X Kentucky

Profile Details

NPI number 1922696863
LBN Legal business name Alcantara Ocampo, Gustavo
Credentials LPCA
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2021
Last updated Dec 28th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922696863 NPPES
Kentucky MEDICAID 1790731081

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