| Brandenburg4llc | |
|
1870 Boonesborough Rd Richmond KY 40475-9323 | |
| (859) 358-2051 | |
| Not Available |
| Full Name | Brandenburg4llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1870 Boonesborough Rd, Richmond, Kentucky |
| Authorized Official Name and Position | Rebecca Brandenburg (OWNER/PROVIDER) |
| Authorized Official Contact | 8593582051 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brandenburg4llc 1870 Boonesborough Rd Richmond KY 40475-9323 Ph: (859) 358-2051 | Brandenburg4llc 1870 Boonesborough Rd Richmond KY 40475-9323 Ph: (859) 358-2051 |
| NPI Number | 1467304451 |
|---|---|
| Provider Enumeration Date | 02/11/2026 |
| Last Update Date | 02/11/2026 |
| Certification Date | 02/11/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467304451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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