| Family Dynamics Behavioral Health Care Pllc | |
|
299 W Lincoln Trail Blvd Suite 5 Radcliff KY 40160-3305 | |
| (270) 351-4880 | |
| (270) 351-4881 |
| Full Name | Family Dynamics Behavioral Health Care Pllc |
|---|---|
| Speciality | Counselor |
| Location | 299 W Lincoln Trail Blvd, Radcliff, Kentucky |
| Authorized Official Name and Position | Bruce Edward Hey (LCSW) |
| Authorized Official Contact | 2703514880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dynamics Behavioral Health Care Pllc 299 W Lincoln Trail Blvd Suite 5 Radcliff KY 40160-3305 Ph: (270) 351-4880 | Family Dynamics Behavioral Health Care Pllc 299 W Lincoln Trail Blvd Suite 5 Radcliff KY 40160-3305 Ph: (270) 351-4880 |
| NPI Number | 1013197078 |
|---|---|
| Provider Enumeration Date | 11/07/2007 |
| Last Update Date | 11/09/2007 |
| Medicare PECOS PAC ID | 5698865798 |
|---|---|
| Medicare Enrollment ID | O20071213000030 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013197078 | NPI | - | NPPES |
| 82001355 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1041C0700X (Kentucky) | Primary |
| Provider Name | Bruce E Hey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184613283 PECOS PAC ID: 1052214418 Enrollment ID: I20040202000148 |
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