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Contact Information

CUMBERLAND FAMILY BEHAVIORAL HEALTH, PLLC
1675 S MAIN ST
LONDON, KY40741-2050
 Phone: 606-878-1961
 Fax: 606-877-1958
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for CUMBERLAND FAMILY BEHAVIORAL HEALTH PLLC · (Female)

NPI # 1659381580
Status Active
Credentials
Entity Individual
Enumeration date 08/09/2006
Last updated 01/05/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • KY License # 3220P
  • KY License # 35016
  • KY Medicaid 65943177
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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