Boheme Holistic Clinical Services
Organization Active NPI Counselor · Scottsville, KY
NPI 1063399210 · NPPES record last updated Aug 19, 2025
Key facts
- NPI
- 1063399210
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Counselor 101Y00000X
- Legal business name
- BOHEME HOLISTIC CLINICAL SERVICES
- Practice address
- 110 S Court St FL 3
Scottsville, KY 42164-1422 - Phone
- (270) 238-2085
- NPI assigned
- Aug 19, 2025
- Organization subpart
- No
Authorized official
- Name
- Vanessa Sewell, LPCC
- Title
- Owner
- Phone
- (270) 238-2085
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251114002029 | KY | Part B Supplier - Clinic/Group Practice | 0547751869 |
Receives reassigned benefits from 1 practitioner Practice locations: Scottsville, KY |
National Provider Directory
Locations
110 S Court St
Fl 3
Scottsville, KY 42164
Phone (270) 238-2085
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor |
101Y00000X | Yes |
Addresses
Primary practice location
110 S Court St FL 3
Scottsville, KY 42164-1422
Mailing address
86 Oliver St
Scottsville, KY 42164-8730
Phone (270) 238-2085
Other providers in Scottsville, KY
- Aalia Ameen
- Aura Recovery Center LLC
- Emma Bale
- Sarah Beckham
- Annace Cathy Bledsoe
- Bowling Green Warren County Community Hospital
- Bowling Green Warren County Community Hospital
- Bowling Green Warren County Community Hospital Corp.
- Bowling Green Warren County Community Hospital Corporation
- Bowling Green-Warren County Community Hospital Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.