Healthcare Provider Details

I. General information

NPI: 1043348337
Provider Name (Legal Business Name): UNITED BEHAVIORAL HEALTH ASSOCIATES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2007
Last Update Date: 04/18/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1021 MAJESTIC DR SUITE# 100
LEXINGTON KY
40513-1866
US

IV. Provider business mailing address

1021MAJESTIC DRIVE SUITE# 100
LEXINGTON KY
40513
US

V. Phone/Fax

Practice location:
  • Phone: 859-278-1162
  • Fax: 859-276-2640
Mailing address:
  • Phone: 859-278-1162
  • Fax: 859-276-2640

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. SAEED HAMID
Title or Position: OWNER
Credential: M.D.
Phone: 859-278-1162