| Southeast Kentucky Behavioral Health, Llc | |
|
202 W 7th St Suite 115 London KY 40741-1763 | |
| (606) 657-0532 | |
| (606) 657-0535 |
| Full Name | Southeast Kentucky Behavioral Health, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 202 W 7th St, London, Kentucky |
| Authorized Official Name and Position | John S Collier (CEO) |
| Authorized Official Contact | 6066570532 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Kentucky Behavioral Health, Llc Po Box 1954 London KY 40743-1954 Ph: (606) 657-0532 | Southeast Kentucky Behavioral Health, Llc 202 W 7th St Suite 115 London KY 40741-1763 Ph: (606) 657-0532 |
| NPI Number | 1235552498 |
|---|---|
| Provider Enumeration Date | 01/23/2014 |
| Last Update Date | 03/22/2023 |
| Certification Date | 03/22/2023 |
| Medicare PECOS PAC ID | 0446489595 |
|---|---|
| Medicare Enrollment ID | O20140219000969 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235552498 | NPI | - | NPPES |
| 7100445310 | Medicaid | KY | |
| 7100448550 | Medicaid | KY |
| Provider Name | John Samuel Collier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255768222 PECOS PAC ID: 0446489504 Enrollment ID: I20140213000750 |
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