Upshaw Maxey, Samantha

Upshaw Maxey, Samantha is an individual health care provider with primary practice located at 332 Highland Park Dr , Richmond KY 40475-3487. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Upshaw Maxey, Samantha can be contacted via phone (859) 200-4961.

Contact Information

Primary practice address
332 Highland Park Dr Richmond KY 40475-3487
Phone: (859) 200-4961
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 1320 Kentucky
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X 104439 Kentucky

Profile Details

NPI number 1083997886
LBN Legal business name Upshaw Maxey, Samantha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2011
Last updated Mar 17th, 2018 - about 7 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 1083997886 NPPES
Kentucky MEDICAID 12789901

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