MEDICARE: BIGGER SKIES MENTAL HEALTH 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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1578455846
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BIGGER SKIES MENTAL HEALTH LLC

Provider Business Mailing Address
First Line	:	7905 S STATE ROUTE 48
Second Line	:
City	:	MAINEVILLE
State	:	OH
Zip	:	45039-8933
Country	:	US
Telephone Number	:	213-722-3840
Fax Number	:	513-296-6872

Provider Business Practice Location Address
First Line	:	7905 S STATE ROUTE 48
Second Line	:
City	:	MAINEVILLE
State	:	OH
Zip	:	45039-8933
Country	:	US
Telephone Number	:	213-722-3840
Fax Number	:	513-296-6872

Authorized Official
Title or Position	:	MANAGING DIRECTOR
Name	:	AMBER WHITLATCH
Credential	:	APRN
Telephone Number	:	310-562-2980

Provider Enumeration Date	:	07/19/2025
Last Update Date	:	03/02/2026

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