OrganizationActive
Bluegrass Behavioral Health Services LLC
NPI 1700494598 · Psychiatric/Mental Health Nurse Practitioner · Versailles, KY
Provider details
- NPI number
- 1700494598
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Toccara Coleman, Billing Specialist(859) 251-4353
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Practice location
527 Marsailles Rd Ste 3
Versailles, KY 40383-1911
Phone: (859) 251-4353
Fax: (859) 251-4253
Approximate (ZIP-level) locationGet directions
Mailing address
229 S Stourbridge Rd
Versailles, KY 40383-2001
Registry dates
- Enumerated
- 2020-07-17
- Last updated
- 2021-04-01
- Certified
- 2021-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.