Elite Behavior Health Services, PLLC

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

Legal business name

ELITE BEHAVIOR HEALTH SERVICES, PLLC

Practice address

1100 Our Ladys Way Ste 213
Ashland, KY 41101-7049

Phone

(606) 388-4911

Fax

(606) 388-4913

NPI assigned

Nov 16, 2023

Last updated

Nov 16, 2023By 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

Julie A Pommell

Title

Office Manager

Phone

(606) 388-4911

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1700092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1073388336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 OUR LADYS WAY STE 213",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017049",
            "telephone_number": "606-388-4911",
            "fax_number": "606-388-4913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 OUR LADYS WAY STE 213",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017049",
            "telephone_number": "606-388-4911",
            "fax_number": "606-388-4913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE BEHAVIOR HEALTH SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-16",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "POMMELL",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "606-388-4911"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cognitive & Behavioral Psychologist in Ashland, KY
• Providers in Ashland, KY by specialty
• Cognitive & Behavioral Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.