OrganizationActive
Bluegrass Advanced Mental Health, LLC.
NPI 1184592701 · Child & Adolescent Psychiatry Physician · Louisville, KY
Provider details
- NPI number
- 1184592701
- Entity type
- Organization
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- David Roth, Owner(808) 741-3031
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
Practice location
7410 New Lagrange Rd
Ste 320
Louisville, KY 40222
Phone: (502) 208-9003
Approximate (ZIP-level) locationGet directions
Mailing address
8222 Spring Glade Pl
Prospect, KY 40059-7653
Registry dates
- Enumerated
- 2025-10-27
- Last updated
- 2026-02-19
- Certified
- 2026-02-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.