Family Dynamics Behavioral Health Care PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1041C0700X Issued in KY

Legal business name

FAMILY DYNAMICS BEHAVIORAL HEALTH CARE PLLC

Practice address

299 W Lincoln Trail Blvd
Suite 5
Radcliff, KY 40160-3305

Phone

(270) 351-4880

Fax

(270) 351-4881

NPI assigned

Nov 7, 2007

Last updated

Nov 9, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Bruce Edward HeyNPI 1184613283

Title

LCSW

Phone

(270) 351-4880

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bruce Hey, LCSW

  • Clinical Social Worker
  • Radcliff, KY
  • NPI 1184613283
  Authorized official Same address or phone
• Thomas Stigall, LCSW

  • Clinical Social Worker
  • Elizabethtown, KY
  • NPI 1619914561
  NPD (past)
• Stacie Sylvester, LCSW, LCADC

  • Clinical Social Worker
  • Bardstown, KY
  • NPI 1265726145
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1013197078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 W LINCOLN TRAIL BLVD",
            "address_2": "SUITE 5",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401603305",
            "telephone_number": "270-351-4880",
            "fax_number": "270-351-4881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 W LINCOLN TRAIL BLVD",
            "address_2": "SUITE 5",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401603305",
            "telephone_number": "270-351-4880",
            "fax_number": "270-351-4881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DYNAMICS BEHAVIORAL HEALTH CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "HEY",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "270-351-4880",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "1041C0700X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82001355",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haley L Evans
• Evergreen Wellness Group
• Dane Fajack, PHARMD
• Falls Dialysis, LLC (Radcliff Dialysis)
• Family Care Center North Hardin
• Family Practice Associates
• Crystal Dawn Farmer, LPCC
• Ronald Faulkner, MD
• Fresenius Medical Care Nak Radcliff, LLC (Fresenius Medical Care North Hardin)
• Tiffany Brooke Frogge, RBT

• Mental Health Counselor in Radcliff, KY
• Providers in Radcliff, KY by specialty
• Mental Health Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.