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General NPI Number Information
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NPI Number | 1235552498
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Entity Type | Organization
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Legal Business Name | SOUTHEAST KENTUCKY BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 01/23/2014
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 202 W 7TH ST STE 200
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City | LONDON
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State | KY
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Zip | 40741-1763
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Country | US
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Telephone | 606-657-0532
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Fax | 606-657-0532
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Provider Business Mailing Address
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Address Line | PO BOX 1954
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City | LONDON
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State | KY
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Zip | 40743-1954
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Country | US
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Telephone | 606-657-0532
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Fax | 606-657-0532
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JOHN S COLLIER
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Credential | MSW, LCSW
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Telephone | 606-657-0532
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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