| Harbor Of Hope Medical And Behavioral Health Care, Llc | |
|
185 Treuhaft Blvd Ste 4 Barbourville KY 40906-8300 | |
| (606) 545-6766 | |
| (606) 545-0366 |
| Full Name | Harbor Of Hope Medical And Behavioral Health Care, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 185 Treuhaft Blvd, Barbourville, Kentucky |
| Authorized Official Name and Position | Thelma Jean Gray (APRN/OWNER) |
| Authorized Official Contact | 6065456766 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harbor Of Hope Medical And Behavioral Health Care, Llc 868 Sam Parker Rd Gray KY 40734-6780 Ph: (606) 269-3428 | Harbor Of Hope Medical And Behavioral Health Care, Llc 185 Treuhaft Blvd Ste 4 Barbourville KY 40906-8300 Ph: (606) 545-6766 |
| NPI Number | 1134738412 |
|---|---|
| Provider Enumeration Date | 07/23/2020 |
| Last Update Date | 01/30/2023 |
| Certification Date | 01/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134738412 | NPI | - | NPPES |
| 7100663490 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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Harbor Of Hope Medical And Behavioral Health Care, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 185 Treuhaft Blvd Apt 4, Barbourville, KY 40906 Phone: 606-545-6766 | |
Harbor Of Hope Medical And Behavioral Health Care, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 185 Treuhaft Blvd, Suite 4, Barbourville, KY 40906 Phone: 606-546-6766 Fax: 606-545-0366 | |
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