MEDICARE: APPALACHIAN BEHAVIORAL HEALTH GROUP LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1164127908
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APPALACHIAN BEHAVIORAL HEALTH GROUP LLC

Provider Business Mailing Address
First Line	:	1390 ABBOTT CREEK RD
Second Line	:
City	:	PRESTONSBURG
State	:	KY
Zip	:	41653-8930
Country	:	US
Telephone Number	:	606-879-1397
Fax Number	:

Provider Business Practice Location Address
First Line	:	1390 ABBOTT CREEK RD
Second Line	:
City	:	PRESTONSBURG
State	:	KY
Zip	:	41653-8930
Country	:	US
Telephone Number	:	606-879-1397
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	SHAWN CONN
Credential	:	LCSW
Telephone Number	:	606-879-1397

Provider Enumeration Date	:	04/03/2023
Last Update Date	:	04/03/2023

Similar Medicare Providers

1891104600 — MS. CHERYL H COMBS-WALKER LCSW
Practice Location Address:

1413 ABBOTT CREEK RD
PRESTONSBURG, KY
41653-8930

Practice Phone: 606-791-4460
Practice Fax:

1134999899 — MARISSA ANN DEBOARD APRN
Practice Location Address:

5000 KY ROUTE 321
PRESTONSBURG, KY
41653-9113

Practice Phone: 606-886-7545
Practice Fax: 606-889-6206

1669321212 — GENEVA CAMPBELL MHA
Practice Location Address:

104 S FRONT AVE
PRESTONSBURG, KY
41653-1614

Practice Phone: 606-886-8572
Practice Fax: 606-886-4433

1801745468 — JAMES DAVIDSON CHW
Practice Location Address:

104 S FRONT AVE
PRESTONSBURG, KY
41653-1614

Practice Phone: 606-886-8572
Practice Fax: 606-886-4433

1669321220 — JEFFREY DUNCAN PERSP
Practice Location Address:

104 S FRONT AVE
PRESTONSBURG, KY
41653-1614

Practice Phone: 606-886-8572
Practice Fax: 606-886-4433

1760331235 — MICHAEL HALL CHW
Practice Location Address:

104 S FRONT AVE
PRESTONSBURG, KY
41653-1614

Practice Phone: 606-886-8572
Practice Fax: 606-886-4433

Directions to “APPALACHIAN BEHAVIORAL HEALTH GROUP LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.