NPI 1093220741 · live from the CMS NPI Registry
Blanford Pediatric Therapy LLC
Social Worker in Bardstown, KY. National Provider Identifier 1093220741, active.
NPI record
| NPI | 1093220741 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker 104100000X |
| Practice location | 201 S 5th St, Bardstown, KY 40004 |
| Practice phone | 502-331-5478 |
| Enumerated | December 4, 2017 |
| Last updated | August 31, 2023 |
| Authorized official | Angie Boltwood, Billing Manager |
| Other names | Lemon-Aid Mental Health Services |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist | 103T00000X | — |
| Counselor | 101Y00000X | — |
| Behavior Analyst | 103K00000X | — |
| Assistant Behavior Analyst | 106E00000X | — |
| Social Worker primary | 104100000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.