Estes Behavioral Health, LLC
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Lewisport, KY
NPI 1194075150 · NPPES record last updated Jul 1, 2015
Key facts
- NPI
- 1194075150
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 3004576 (KY)
- Legal business name
- ESTES BEHAVIORAL HEALTH, LLC
- Practice address
- 1210 4TH St
Lewisport, KY 42351-2526 - Phone
- (270) 295-6450
- Fax
- (270) 295-6452
- NPI assigned
- Sep 17, 2012
- Organization subpart
- No
Authorized official
- Name
- Jessica L Estes, APRN-NP
- Title
- Owner
- Phone
- (270) 295-6450
Member of 1
Practitioners 1
-
McKena Campbell, LPCC
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | 3004576 | KY | Yes |
Addresses
Primary practice location
1210 4TH St
Lewisport, KY 42351-2526
Mailing address
PO Box 297
1210 4TH Street
Lewisport, KY 42351-0297
Phone (270) 295-6450
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100325350 | Medicaid | KY |
Other providers in Lewisport, KY
- Neisha Daniel Blue
- C & T Healthcare PLLC
- Amy Cameron
- McKena Campbell
- Cynthia Jo Emmick
- Jessica L Estes
- Adria Leigh Eubanks
- Family Health Care Associates 6 Limited Liability Company
- George Marshall Counseling, PLLC
- Brenton A Hallden
All providers in Lewisport, KY · Psychiatric/Mental Health Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.