Healthcare Provider Details

I. General information

NPI: 1255214953
Provider Name (Legal Business Name): BETTER BEHAVIORAL KENTUCKY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2025
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1102 TRIPLETT ST STE 2300
OWENSBORO KY
42303-3120
US

IV. Provider business mailing address

1222 PROFESSIONAL BLVD
EVANSVILLE IN
47714-8002
US

V. Phone/Fax

Practice location:
  • Phone: 812-720-3800
  • Fax: 812-213-7405
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL
# 4
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. BABAK LATEFI
Title or Position: CIO
Credential: MD
Phone: 317-960-5245