Healthcare Provider Details

I. General information

NPI: 1376217638
Provider Name (Legal Business Name): BETTER MENTAL HEALTH KY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2021
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1229 COLORADO RD
LEXINGTON KY
40509-2397
US

IV. Provider business mailing address

1229 COLORADO RD
LEXINGTON KY
40509-2397
US

V. Phone/Fax

Practice location:
  • Phone: 859-888-0262
  • Fax:
Mailing address:
  • Phone: 859-888-0262
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: SARAH MALIK
Title or Position: ADMINISTRATIVE DIRECTOR
Credential:
Phone: 859-888-0262