Provider Demographics
NPI:1467501510
Name:HARRISON COUNTY BOARD OF EDUCATION
Entity Type:Organization
Organization Name:HARRISON COUNTY BOARD OF EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL ED. DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRAD
Authorized Official - Middle Name:G
Authorized Official - Last Name:YEARSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-234-7160
Mailing Address - Street 1:308 WEBSTER AVE
Mailing Address - Street 2:
Mailing Address - City:CYNTHIANA
Mailing Address - State:KY
Mailing Address - Zip Code:41031-1647
Mailing Address - Country:US
Mailing Address - Phone:859-234-7160
Mailing Address - Fax:859-234-0861
Practice Address - Street 1:308 WEBSTER AVE
Practice Address - Street 2:
Practice Address - City:CYNTHIANA
Practice Address - State:KY
Practice Address - Zip Code:41031-1647
Practice Address - Country:US
Practice Address - Phone:859-234-7160
Practice Address - Fax:859-234-0861
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY171M00000X
251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251300000XAgenciesLocal Education Agency (LEA)Group - Single Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty