Healthcare Provider Details

I. General information

NPI: 1790926962
Provider Name (Legal Business Name): CHARLOTTE SAVILL RN MSN PMHNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHARLOTTE SAVILL PMHNP

II. Dates (important events)

Enumeration Date: 03/17/2009
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4150 ALEXANDRIA PIKE STE 111
COLD SPRING KY
41076-3529
US

IV. Provider business mailing address

4134 ALEXANDRIA PIKE STE 111
COLD SPRING KY
41076-1820
US

V. Phone/Fax

Practice location:
  • Phone: 513-304-0407
  • Fax: 855-393-8538
Mailing address:
  • Phone: 513-304-0307
  • Fax: 859-441-3432

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number4036432
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number451090
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: