Healthcare Provider Details

I. General information

NPI: 1891570289
Provider Name (Legal Business Name): STONE BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2023
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 N BROADWAY ST
BEREA KY
40403-1504
US

IV. Provider business mailing address

146 E HAITI RD
BEREA KY
40403-1650
US

V. Phone/Fax

Practice location:
  • Phone: 859-302-9978
  • Fax:
Mailing address:
  • Phone: 859-302-9978
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: NATALIE C STONE
Title or Position: OWNER
Credential: APRN
Phone: 859-893-7575