Healthcare Provider Details

I. General information

NPI: 1023813896
Provider Name (Legal Business Name): ADEPT CONSULTING GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2025
Last Update Date: 02/17/2025
Certification Date: 02/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1048 HYDE RD
RIPLEY TN
38063-8306
US

IV. Provider business mailing address

4600 STONELEA PL
LA GRANGE KY
40031-6706
US

V. Phone/Fax

Practice location:
  • Phone: 502-381-9053
  • Fax:
Mailing address:
  • Phone: 502-381-9053
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207LA0401X
TaxonomyAddiction Medicine (Anesthesiology) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. JEFFERY BEATY
Title or Position: VP
Credential: PHD
Phone: 502-381-9053