EDWARDS BEHAVIORAL HEALTH LLC (NPI# 1598382517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598382517 |
| Entity Type | Organization |
| Organization Name | EDWARDS BEHAVIORAL HEALTH LLC |
| Practice Address |
4702 Bernheim Dr Owensboro KY 42301-7947 |
| Mailing Address |
Po Box 22619 Owensboro KY 42303 |
| Practice Telephone | 2703156459 |
| Mailing Telephone | 2703156459 |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2020-09-30 |
| Authorized Official Name | SANDRA EDWARDS (OWNER) |
| Authorized Official Telephone | 2703156459 |
| Authorized Official Credential | PMHNP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100690000 | 05 |
| Street Address |
4702 BERNHEIM DR |
| City | OWENSBORO |
| State | KY |
| Zip Code | 42301-7947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124558002 | To The Max Behavior Therapy, LLC | Behavioral Analyst | 905 Griffith Avenue, Owensboro, KY 42301 | 2017-06-14 |
| 1558747014 | Kendall L Tapp | Counselor | 1925 Frederica St, Owensboro, KY 42301 | 2015-08-07 |
| 1104168210 | Behavior Associates, LLC | Psychologist | 3445 Wathens Xing Ste 104, Owensboro, KY 42301 | 2013-03-27 |
| 1285990259 | Jaime E Ford | Preventive Medicine | 1723 Windsor Ave., Owensboro, KY 42301 | 2012-04-04 |
| 1457637043 | Bliss United Dental Services Dba Owensboro Family Dentistry | Dentist | 4921 Goetz Dr., Owensboro, KY 42301 | 2011-10-26 |
| 1932483138 | Dennis Craig Hodges | Pharmacist | 2318 Frederica Street, Owensboro, KY 42301 | 2011-10-06 |
| 1225317381 | Donna Kay Ewing | Social Worker | 1925 Frederica St Ste 200, Owensboro, KY 42301 | 2011-08-08 |
| 1639489230 | Easycare Inc | Durable Medical Equipment & Medical Supplies | 5010 Back Square Drive, Owensboro, KY 42301 | 2010-10-15 |
| 1962727529 | Amy Martin | Physical Therapy Assistant | 2420 West Thrid Street, Owensboro, KY 42301 | 2010-04-07 |
| 1215163837 | Green River District Health Department | Public Health or Welfare | 5390 Hwy 56, Owensboro, KY 42301 | 2009-06-10 |
| Find all providers in zip 42301 | ||||
| Taxonomy Code | 364SP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306020425 | Carolyn Rosenthal | Clinical Nurse Specialist | 289 Ireland Ave, Ireland Army Community Hospital, Ft. Knox, KY 40121 | 2007-12-26 |
| 1891874780 | John C Vinson Iv | Clinical Nurse Specialist | 1030 Monarch St, Suite 200, Lexington, KY 40513-1843 | 2006-11-03 |
| 1457449506 | Kaka Echere | Clinical Nurse Specialist | 650 Joel Dr, Fort Campbell, KY 42223 | 2006-10-11 |
| 1588632707 | Cathy A Gibson | Clinical Nurse Specialist | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2006-03-14 |
| 1972571867 | Sharon Edwards | Clinical Nurse Specialist | 125 E Maxwell St, Ste 300, Lexington, KY 40508-2678 | 2006-03-08 |
Please comment or provide details below to improve the information on EDWARDS BEHAVIORAL HEALTH LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.