Ally Behavioral Health LLC

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

ALLY BEHAVIORAL HEALTH LLC

Practice address

1616 N Main St
Hazard, KY 41701-1251

Phone

(888) 920-9004

NPI assigned

Oct 14, 2024

Last updated

Oct 22, 2024By 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

Shawn Smith

Title

President

Phone

(775) 300-0282

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1649090804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 STAR SHOOT PKWY STE 170-101",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405094566",
            "telephone_number": "888-920-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 N MAIN ST",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417011251",
            "telephone_number": "888-920-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLY BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "775-300-0282"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Allen
• Jacqueline D Allen, APRN
• Martha J Allen
• Misty Cordell Allen, RD, LD
• Rebecca Allen
• Alternative Lifeskills Inc
• Alternative Outlook Behavioral Health
• Debra Amburgey Teague
• Delma J Amburgey, LPN
• Jessica Lea Amburgey, PA-C

• Methadone Clinic in Hazard, KY
• Providers in Hazard, KY by specialty
• Methadone Clinic in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.