Specialized Therapy Group, Llc

LBN: Specialized Therapy Group, Llc
Specialized Therapy Group, Llc is an health care organization with primary practice located at 340 17Th St , Ashland KY 41101-7628. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Allopathic & Osteopathic Physicians / Psychiatry, Ambulatory Health Care Facilities / Occupational Medicine. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is the primary health care specialty. Specialized Therapy Group, Llc can be contacted via phone (606) 420-4070, or through Carter, William Edward via phone (606) 420-4070.

Contact Information

Primary practice address
340 17Th St Ashland KY 41101-7628
Phone: (606) 420-4070
Fax: (606) 420-4071
Website:
Map and Directions
Authorized official contact:
Name: Carter, William Edward RAS-I, CART
Phone: (606) 420-4070

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X RI-C1112181215
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0864 Kentucky
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Ambulatory Health Care Facilities / Occupational Medicine 261QX0100X 29912 Kentucky

Profile Details

NPI number 1336404912
LBN Legal business name Specialized Therapy Group, Llc
DBA Doing business as
Authorized official Carter, William Edward RAS-I, CART
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2012
Last updated Jan 30th, 2013 - about 12 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 1336404912 NPPES
Kentucky MEDICAID 64106826

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