NPI Profile for BHG LXXXIV LLC in LAWRENCE, KS.
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction Medicine |
2084A0401X | 79 | Physician/Addiction Medicine | |
Addiction (Substance Use Disorder) |
101YA0400X | |||
Addiction Medicine |
207QA0401X | 08 | Physician/Family Practice | |
Addiction Medicine |
207RA0401X | 11 | Physician/Internal Medicine | |
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center | |
Methadone |
261QM2800X | |||
Multi-Specialty |
261QM1300X | 70 | Clinic or Group Practice | |
Rehabilitation, Substance Use Disorder |
261QR0405X |
| NPI Number | 1154035236 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 01/12/2023 | |
| Last updated | 03/02/2026 - About 3 months ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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BHG LXXXIV, LLC
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