Behavioral Health Professionals

LBN: Renew Addiction Treatment Center
Behavioral Health Professionals is an health care organization with primary practice located at 400 Venters Ln Ste 100 , Pikeville KY 41501-3016. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as the primary health care specialty. Renew Addiction Treatment Center can be contacted via phone (606) 653-1505, or through Sisco, Amber via phone (606) 653-1505.

Contact Information

Primary practice address
400 Venters Ln Ste 100 Pikeville KY 41501-3016
Fax:
Website:
Authorized official contact:
Name: Sisco, Amber

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 740318 Kentucky
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 740318 Kentucky
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 740318 Kentucky

Profile Details

NPI number 1063810091
LBN Legal business name Renew Addiction Treatment Center
DBA Doing business as Behavioral Health Professionals
Authorized official Sisco, Amber
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 8th, 2014
Last updated Sep 9th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063810091 NPPES
Kentucky Other 740318 STATE FACILITY LICENSE- SPECIAL HEALTH CLINIC

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