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Contact Information

LIGHT PSYCHIATRIC SERVICES, PSC
13113 EASTPOINT PARK BLVD
SUITE D
LOUISVILLE, KY40223-4191
 Phone: 502-244-5437
 Fax: 502-244-5003
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for LIGHT PSYCHIATRIC SERVICES, PSC

NPI Number 1578628392
LBN Legal business name LIGHT PSYCHIATRIC SERVICES, PSC
Authorized official MICHAEL LIGHT - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/22/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
KY License # 36355
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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