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Contact Information

BHG LVIII, LLC
1024 IVAL JAMES BLVD STE C
RICHMOND, KY40475-7622
 Phone: 859-575-1323
 Fax:
 Website:
 

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
 

Addiction Medicine

2083A0300X 84 Physician/Preventive Medicine
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Rehabilitation, Substance Use Disorder

261QR0405X
Indicates primary specialty

NPI Profile & details for BHG LVIII LLC · (Female)

NPI # 1174363733
Status Active
Credentials
Entity Individual
Enumeration date 05/30/2024
Last updated 12/26/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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