Spectra Mental Healthcare, Pllc

LBN: Spectra Mental Healthcare, Pllc
Spectra Mental Healthcare, Pllc is an health care organization with primary practice located at 214 Breckenridge Ln 104, Louisville KY 40207-3868. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Spectra Mental Healthcare, Pllc can be contacted via phone (502) 893-3388, or through Bates, Karl via phone (502) 893-3388.

Contact Information

Primary practice address
214 Breckenridge Ln 104 Louisville KY 40207-3868
Phone: (502) 893-3388
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bates, Karl
Phone: (502) 893-3388

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1275684698
LBN Legal business name Spectra Mental Healthcare, Pllc
DBA Doing business as
Authorized official Bates, Karl
Entity Organization
Organization subpart 1 No
Enumeration date Jan 13th, 2007
Last updated May 19th, 2008 - about 16 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 1275684698 NPPES
Kentucky Other 000000344330 ANTHEM BLUE CROSS & BLUE SHIELD
Kentucky MEDICAID 8290021800 ANTHEM BLUE CROSS & BLUE SHIELD

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