MEDICARE: BEHAVIORAL AND ADDICTION SERVICES

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
2	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1790666865
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEHAVIORAL AND ADDICTION SERVICES

Provider Business Mailing Address
First Line	:	717 ROSSLYNS DL
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40514-1189
Country	:	US
Telephone Number	:	859-436-5174
Fax Number	:	714-604-1767

Provider Business Practice Location Address
First Line	:	200 E REYNOLDS RD STE 9
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40517-1245
Country	:	US
Telephone Number	:	859-705-7770
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MAGDALEN K MEKOH
Credential	:	PMHNP-BC
Telephone Number	:	859-705-7770

Provider Enumeration Date	:	09/08/2025
Last Update Date	:	01/20/2026

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Directions to “BEHAVIORAL AND ADDICTION SERVICES ” Practice Location

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