Balanced Behavioral Health Ky LLC
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Lexington, KY
NPI 1811566102 · NPPES record last updated Mar 27, 2024
Key facts
- NPI
- 1811566102
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- BALANCED BEHAVIORAL HEALTH KY LLC
- Practice address
- 1021 Majestic Dr Ste 180
Lexington, KY 40513-1866 - Phone
- (859) 753-7950
- NPI assigned
- Jun 21, 2021
- Organization subpart
- Yes
- Parent organization (as reported)
- TEMPLEMAN II HOLDINGS LLC
Authorized official
- Name
- Mrs. Elizabeth Ann Templeman, APRN
- Title
- Nurse Practitioner
- Phone
- (859) 963-1619
Practitioners 4
-
Reisha L Caudill, NURSE PRACTITIONER
-
Catherine Permin, APRN
-
Brittany Robinson, APRN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211006003071 | KY | Part B Supplier - Clinic/Group Practice | 6709284680 |
Receives reassigned benefits from 4 practitioners Practice locations: Lexington, KY; Frankfort, KY |
National Provider Directory
Locations
310 Saint Clair St
Frankfort, KY 40601
Phone (502) 576-6224
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
Addresses
Primary practice location
1021 Majestic Dr Ste 180
Lexington, KY 40513-1866
Mailing address
360 S Hill Rd
Versailles, KY 40383-8663
Phone (859) 963-1619
Other practice location 1
310 Saint Clair St
Frankfort, KY 40601-1876
Phone (502) 576-6224
Other providers in Lexington, KY
- Stephen Nicholas Baker
- Taylor Baker
- Tayton Douglas Baker
- Thomas Jordan Baker
- Worth Bradley Baker
- Balanced Recovery, Inc
- Attila Gabriel Balazs
- Robert James Baldau II
- Amber D Baldridge
- Kelly Carol Baldridge
All providers in Lexington, 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 Mar 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.