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NPI Code Detail

MEDICARE: AURORA BEHAVIORAL HEALTH

MEDICARE: AURORA BEHAVIORAL HEALTH
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
1101YM0800XMental Health Counselor
2106H00000XMarriage & Family Therapist
31041C0700XClinical Social Worker

General Provider Information

NPI Number : 1912671751
Entity Type Code : Organization
Provider Name (Legal Business Name) : AURORA BEHAVIORAL HEALTH
Provider Business Mailing Address
First Line : 6006 BROWNSBORO PARK BLVD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40207-1296
Country : US
Telephone Number : 502-494-6631
Fax Number : 502-333-9667
Provider Business Practice Location Address
First Line : 155 LEES VALLEY RD
Second Line :
City : SHEPHERDSVILLE
State : KY
Zip : 40165-6143
Country : US
Telephone Number : 502-494-6631
Fax Number : 502-333-9667
Authorized Official
Title or Position : OWNER
Name : JAMES JUDSON WALKER
Credential : MSSW
Telephone Number : 502-494-6631
Provider Enumeration Date : 08/05/2021
Last Update Date : 06/24/2022

Similar Medicare Providers

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Directions to “AURORA BEHAVIORAL HEALTH ” Practice Location

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