Healthcare Provider Details

I. General information

NPI: 1063323376
Provider Name (Legal Business Name): STEADY-STATE BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1135 S LAKE DR
PRESTONSBURG KY
41653-1349
US

IV. Provider business mailing address

1135 S LAKE DR
PRESTONSBURG KY
41653-1349
US

V. Phone/Fax

Practice location:
  • Phone: 606-949-1751
  • Fax: 606-949-1754
Mailing address:
  • Phone: 606-949-1751
  • Fax: 606-949-1754

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name: JEREMY CLICK
Title or Position: OWNER
Credential:
Phone: 606-949-1751