Provider Demographics
NPI:1467546200
Name:PSYCHOLOGY CENTER FOR THE CUMBERLANDS
Entity Type:Organization
Organization Name:PSYCHOLOGY CENTER FOR THE CUMBERLANDS
Other - Org Name:BARBARA L BELEW PHD PLLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:BELEW
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:606-528-5335
Mailing Address - Street 1:1200 EAST MASTER STREET
Mailing Address - Street 2:SUITE 3
Mailing Address - City:CORBIN
Mailing Address - State:KY
Mailing Address - Zip Code:40701
Mailing Address - Country:US
Mailing Address - Phone:606-528-5335
Mailing Address - Fax:606-528-5669
Practice Address - Street 1:1200 EAST MASTER STREET
Practice Address - Street 2:SUITE 3
Practice Address - City:CORBIN
Practice Address - State:KY
Practice Address - Zip Code:40701
Practice Address - Country:US
Practice Address - Phone:606-528-5335
Practice Address - Fax:606-528-5669
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BARBARA L. BELEW, PH.D., PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-03
Last Update Date:2007-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY00831103T00000X
103T00000X
KY19451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYC61030OtherCUMBERLAND HEALTHCARE
KY8900068100Medicaid
KYC61030OtherCUMBERLAND HEALTHCARE