MEDICARE: METRO TREATMENT OF KENTUCKY, LP

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1235098252
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METRO TREATMENT OF KENTUCKY, LP

Provider Business Mailing Address
First Line	:	1098 E NEW CIRCLE RD STE 160
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40505-4117
Country	:	US
Telephone Number	:	859-721-6810
Fax Number	:	859-721-6815

Provider Business Practice Location Address
First Line	:	1098 E NEW CIRCLE RD STE 160
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40505-4117
Country	:	US
Telephone Number	:	859-721-6810
Fax Number	:	859-721-6815

Authorized Official
Title or Position	:	VICE PRESIDENT OF MANAGED CARE
Name	:	SCOTT CALL
Credential	:
Telephone Number	:	480-826-3929

Provider Enumeration Date	:	01/16/2026
Last Update Date	:	01/16/2026

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