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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

NPI # 1659381580
LBN Legal business name CUMBERLAND FAMILY BEHAVIORAL HEALTH, PLLC
Authorized official RAQUEL VASQUEZ - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/09/2006
Last updated 01/05/2010 - About 16 years ago
Identifiers
KY License # 3220P
KY License # 35016
KY Medicaid 65943177
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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