| Bluegrass Advanced Mental Health, Llc. | |
|
8222 Spring Glade Pl Prospect KY 40059-7653 | |
| (808) 741-3031 | |
| Not Available |
| Full Name | Bluegrass Advanced Mental Health, Llc. |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 8222 Spring Glade Pl, Prospect, Kentucky |
| Authorized Official Name and Position | David Erich Roth (PRESIDENT) |
| Authorized Official Contact | 8087413031 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluegrass Advanced Mental Health, Llc. 8222 Spring Glade Pl Prospect KY 40059-7653 Ph: (808) 741-3031 | Bluegrass Advanced Mental Health, Llc. 8222 Spring Glade Pl Prospect KY 40059-7653 Ph: (808) 741-3031 |
| NPI Number | 1184592701 |
|---|---|
| Provider Enumeration Date | 10/27/2025 |
| Last Update Date | 11/23/2025 |
| Certification Date | 11/23/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184592701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
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