| Broadleaf Behavioral Services Llc | |
|
840 Bagby Rd Crittenden KY 41030-8957 | |
| (859) 391-1344 | |
| Not Available |
| Full Name | Broadleaf Behavioral Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 840 Bagby Rd, Crittenden, Kentucky |
| Authorized Official Name and Position | Evan Young (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8593911344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broadleaf Behavioral Services Llc 840 Bagby Rd Crittenden KY 41030-8957 Ph: (859) 391-1344 | Broadleaf Behavioral Services Llc 840 Bagby Rd Crittenden KY 41030-8957 Ph: (859) 391-1344 |
| NPI Number | 1467123752 |
|---|---|
| Provider Enumeration Date | 09/26/2021 |
| Last Update Date | 09/26/2021 |
| Certification Date | 09/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467123752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Healing Roots Therapy Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2460 Gardnersville Rd, Crittenden, KY 41030 Phone: 859-443-0911 |