Unbound Life Llc - Medicare Mental Health Clinic in Elizabethtown, KY

Unbound Life Llc is a medicare enrolled mental health clinic (Substance Abuse Rehabilitation Facility) in Elizabethtown, Kentucky. The current practice location for Unbound Life Llc is 100 Par Ln Ste 102, Elizabethtown, Kentucky. For appointments, you can reach them via phone at (270) 506-3385. The mailing address for Unbound Life Llc is 100 Par Ln Ste 102, Elizabethtown, Kentucky and phone number is () -.

Unbound Life Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1194456962. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (270) 506-3385.

Contact Information

Unbound Life Llc
100 Par Ln Ste 102
Elizabethtown
KY 42701-9059
(270) 506-3385
Not Available

Mental Health Clinic Profile

Full NameUnbound Life Llc
SpecialitySubstance Abuse Rehabilitation Facility
Location100 Par Ln Ste 102, Elizabethtown, Kentucky
Authorized Official Name and PositionCameron Vance (ADMINISTRATOR)
Authorized Official Contact2703202605
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Unbound Life Llc
100 Par Ln Ste 102
Elizabethtown
KY 42701-9059

Ph: () -
Unbound Life Llc
100 Par Ln Ste 102
Elizabethtown
KY 42701-9059

Ph: (270) 506-3385

NPI Details:

NPI Number1194456962
Provider Enumeration Date06/22/2022
Last Update Date01/10/2023
Certification Date01/10/2023

Medicare PECOS Information:

Medicare PECOS PAC ID5193198448
Medicare Enrollment IDO20230307001621

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Medical Identifiers

Medical identifiers for Unbound Life Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194456962NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical (* (Not Available))Secondary
324500000XSubstance Abuse Rehabilitation Facility (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Unbound Life Llc acts as a billing entity for following providers:
Provider NameDianne Bradley
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1750666152
PECOS PAC ID: 5991925372
Enrollment ID: I20230307001711

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