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General NPI Number Information
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NPI Number | 1750892402
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Entity Type | Organization
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Legal Business Name | INSIGHT BEHAVIORAL HEALTH ASSOCIATES
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Dates
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Enumeration Date | 10/21/2017
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Last Update Date | 08/30/2025
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Provider Practice Location Address
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Address Line | 204 S 2ND ST
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City | DANVILLE
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State | KY
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Zip | 40422-1804
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Country | US
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Telephone | 859-209-2198
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Fax | 859-374-5006
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Provider Business Mailing Address
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Address Line | 204 S 2ND ST
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City | DANVILLE
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State | KY
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Zip | 40422-1804
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Country | US
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Telephone | 859-209-2198
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Fax | 859-374-5006
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Authorized Official
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Title or Position | OWNER / CLINICIAN
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Name | WILLIAM SCOTT GIBSON
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Credential | APRN PMHNP-BC
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Telephone | 859-209-2198
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 3009625
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License Number State | KY
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