Ally Behavioral Health LLC
Organization Active NPI Methadone Clinic · Hazard, KY
NPI 1649090804 · NPPES record last updated Oct 22, 2024
Key facts
- NPI
- 1649090804
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Methadone Clinic 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
- Organization subpart
- No
Authorized official
- Name
- Shawn Smith
- Title
- President
- Phone
- (775) 300-0282
National Provider Directory
Locations
1616 N Main St
Hazard, KY 41701
Phone (888) 920-9004
1890 Star Shoot Pkwy
Ste 170101
Lexington, KY 40509
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | |||
| Methadone Clinic | 261QM2800X | Yes |
Addresses
Primary practice location
1616 N Main St
Hazard, KY 41701-1251
Mailing address
1890 Star Shoot Pkwy Ste 170-101
Lexington, KY 40509-4566
Phone (888) 920-9004
Other providers in Hazard, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2024. 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.