Healthcare Provider Details

I. General information

NPI: 1245153352
Provider Name (Legal Business Name): NEUROBALANCE PSYCHIATRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1714 PERRYVILLE RD STE 110
DANVILLE KY
40422-1392
US

IV. Provider business mailing address

129 E JEFFERSON AVE
DANVILLE KY
40422-2502
US

V. Phone/Fax

Practice location:
  • Phone: 859-514-3131
  • Fax: 859-514-3131
Mailing address:
  • Phone: 859-514-3131
  • Fax: 859-514-3131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JOSHUA PATTERSON
Title or Position: FOUNDER
Credential:
Phone: 859-514-3131