Provider Demographics
NPI:1649208331
Name:ACCESS BEHAVIORAL HEALTH INC
Entity Type:Organization
Organization Name:ACCESS BEHAVIORAL HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RONDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:MANCINI
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:502-394-0101
Mailing Address - Street 1:3801 SPRINGHURST BLVD
Mailing Address - Street 2:STE 101
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40241-6137
Mailing Address - Country:US
Mailing Address - Phone:502-394-0101
Mailing Address - Fax:502-425-4275
Practice Address - Street 1:3801 SPRINGHURST BLVD
Practice Address - Street 2:STE 101
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40241-6137
Practice Address - Country:US
Practice Address - Phone:502-394-0101
Practice Address - Fax:502-425-4275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYLCSW726101YM0800X
KYKY1228103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty