| Essential Healing Iop, Inc | |
|
1795 Alysheba Way 1001 Lexington KY 40509-2282 | |
| (859) 687-0416 | |
| (859) 353-4200 |
| Full Name | Essential Healing Iop, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1795 Alysheba Way, Lexington, Kentucky |
| Authorized Official Name and Position | Stevanie Smith (PROGRAM DIRECTOR/THERAPIST) |
| Authorized Official Contact | 8596870416 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Essential Healing Iop, Inc 1795 Alysheba Way 1001 Lexington KY 40509-2282 Ph: (859) 687-0416 | Essential Healing Iop, Inc 1795 Alysheba Way 1001 Lexington KY 40509-2282 Ph: (859) 687-0416 |
| NPI Number | 1417374943 |
|---|---|
| Provider Enumeration Date | 03/21/2014 |
| Last Update Date | 02/17/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417374943 | NPI | - | NPPES |
| 800171 | Other | KY | BHSO - BEHAVIORAL HEALTH SERVICES ORGANIZATION |
| 810448 | Other | KY | AODE - ALCOHOL AND OTHER DRUG ENTITY |
| 7100294500 | Medicaid | KY |
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