Provider Demographics
NPI:1063027910
Name:RESPECT MENTAL HEALTHCARE LLC
Entity Type:Organization
Organization Name:RESPECT MENTAL HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:859-396-0584
Mailing Address - Street 1:2132 SALLEE DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40513-1205
Mailing Address - Country:US
Mailing Address - Phone:859-396-0584
Mailing Address - Fax:859-523-5449
Practice Address - Street 1:2132 SALLEE DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40513-1205
Practice Address - Country:US
Practice Address - Phone:859-396-0584
Practice Address - Fax:859-523-5449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-08
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty