OrganizationActive
Behavioral Health & Wellness Center
NPI 1790057313 · Psychiatry Physician · Lexington, KY
Provider details
- NPI number
- 1790057313
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dana Landry, Owner/Provider(859) 273-1288
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Clinical Psychologist103TC0700X
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3175 Custer Dr
Suite 200
Lexington, KY 40517-4023
Phone: (859) 273-1288
Fax: (859) 273-1278
Approximate (ZIP-level) locationGet directions
Mailing address
3175 Custer Dr
Lexington, KY 40517-4023
Registry dates
- Enumerated
- 2012-01-27
- Last updated
- 2019-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.