DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KVC BEHAVIORAL HEALTHCARE KENTUCKY INC

MEDICARE: KVC BEHAVIORAL HEALTHCARE KENTUCKY INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor
2103TC0700XClinical Psychologist
31041C0700XClinical Social Worker
4302R00000XHealth Maintenance OrganizationKY
5101YM0800XMental Health Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083902191
Entity Type Code : Organization
Provider Name (Legal Business Name) : KVC BEHAVIORAL HEALTHCARE KENTUCKY INC
Provider Business Mailing Address
First Line : 2250 THUNDERSTICK DR STE 1104
Second Line :
City : LEXINGTON
State : KY
Zip : 40505-9009
Country : US
Telephone Number : 859-254-1035
Fax Number : 859-254-2075
Provider Business Practice Location Address
First Line : 2250 THUNDERSTICK DR STE 1104
Second Line :
City : LEXINGTON
State : KY
Zip : 40505-9009
Country : US
Telephone Number : 859-254-1035
Fax Number : 859-254-2075
Authorized Official
Title or Position : AUTHORIZED OFFICIAL/PRESIDENT
Name : REGINA MARIA KLYACHKIN
Credential :
Telephone Number : 913-322-4900
Provider Enumeration Date : 07/11/2011
Last Update Date : 05/21/2021

Similar Medicare Providers

1225983703 — KAYLA PERRY BSW
Practice Location Address:
2250 THUNDERSTICK DR STE 1104
LEXINGTON, KY
40505-9009
Practice Phone: 859-254-1035
Practice Fax:
1154902369 — WHITNEY DAILEY MSW, LCSW
Practice Location Address:
2250 THUNDERSTICK DR STE 1104
LEXINGTON, KY
40505-9009
Practice Phone: 859-254-1035
Practice Fax: 859-254-2075
1447105887 — GARRA DELISSA BARKER
Practice Location Address:
2250 THUNDERSTICK DR STE 1104
LEXINGTON, KY
40505-9009
Practice Phone: 859-254-1035
Practice Fax: 859-254-2075
1013067172 — MRS. KELLY C KIRKPATRICK LCSW
Practice Location Address:
2250 THUNDERSTICK DR STE 1104
LEXINGTON, KY
40505-9009
Practice Phone: 859-254-1035
Practice Fax: 859-254-2075
1841331048 — MS. ANGELA COMBS LCSW
Practice Location Address:
2250 THUNDERSTICK DR STE 1104
LEXINGTON, KY
40505-9009
Practice Phone: 859-254-1035
Practice Fax: 859-254-2075
1174655237 — MS. SHANNON COCHRANCE JOHNSON LCSW
Practice Location Address:
2250 THUNDERSTICK DR STE 1104
LEXINGTON, KY
40505-9009
Practice Phone: 859-254-1035
Practice Fax: 859-254-2075

Directions to “KVC BEHAVIORAL HEALTHCARE KENTUCKY INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.