Laurel Family Medical & Mental Health

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

LAUREL FAMILY MEDICAL & MENTAL HEALTH

Practice address

73 Thompson Poynter Rd Ste a
London, KY 40741-7202

Phone

(606) 657-5912

Fax

(606) 657-5915

NPI assigned

Sep 13, 2022

Organization subpart

No

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

Authorized official

Name

Stephanie Collins, PMHNP

Title

Co Owner

Phone

(606) 657-5912

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1104548585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 THOMPSON POYNTER RD STE A",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407417202",
            "telephone_number": "606-657-5912",
            "fax_number": "606-657-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 THOMPSON POYNTER RD STE A",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407417202",
            "telephone_number": "606-657-5912",
            "fax_number": "606-657-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL FAMILY MEDICAL & MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "606-657-5912",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurel County Sobriety Center PLLC
• Laurel Couny Health Department
• Laurel Dental Care
• Laurel Dental Care
• Laurel Dental Dre PLLC
• Laurel Family Mental Health
• Laurel Housing Inc
• Laurel Housing Inc
• Laurel Housing Inc.
• Laurel Medical Services LLC

• Psychiatric/Mental Health Nurse Practitioner in London, KY
• Providers in London, KY by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.