National Provider Identifier Database

PRESBYTERIAN CHILD WELFARE AGENCY
Community/Behavioral Health

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.


Contact Information

PRESBYTERIAN CHILD WELFARE AGENCY
116 BUCKHORN LN
BUCKHORN, KY41721-8987
Phone: 606-398-7000
Fax: 606-398-7912
Website:
Specialty Taxonomy Code
* Community/Behavioral Health 251S00000X
Case Management 251B00000X
Psychiatric Residential Treatment Facility 323P00000X
Residential Treatment Facility, Emotionally Disturbed Children 322D00000X
Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for PRESBYTERIAN CHILD WELFARE AGENCY

NPI Number 1811029176
Legal business name
LBN
PRESBYTERIAN CHILD WELFARE AGENCY
Authorized official MITCH SMITH - (CFO)
Entity Organization
Organization subpart No
Enumeration date 03/12/2007
Last updated 08/13/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • KY License #: 097122583(2)
  • KY License #: 097123960(1)
  • OH License #: 552
  • KY Medicaid: 04097010
  • KY Medicaid: 04097028
  • KY Medicaid: 7100258860
  • KY Medicaid: 7100258880
  • OH Medicaid: 12394
  • KY Other: 810858 KY OIG - OUTPATIENT AODE
  • KY Other: 810859 KY OIG - OUTPATIENT AODE

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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