Provider Demographics
NPI:1851822886
Name:AIM BEHAVIORAL
Entity Type:Organization
Organization Name:AIM BEHAVIORAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MANITH
Authorized Official - Middle Name:
Authorized Official - Last Name:PARIKH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:606-922-1240
Mailing Address - Street 1:10730 MIDLAND TRAIL RD
Mailing Address - Street 2:STE B
Mailing Address - City:ASHLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41102-9679
Mailing Address - Country:US
Mailing Address - Phone:606-393-6193
Mailing Address - Fax:
Practice Address - Street 1:10730 MIDLAND TRAIL RD
Practice Address - Street 2:STE B
Practice Address - City:ASHLAND
Practice Address - State:KY
Practice Address - Zip Code:41102-9679
Practice Address - Country:US
Practice Address - Phone:606-393-6193
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ASHLAND INTEGRATIVE MEDICINE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-03-22
Last Update Date:2017-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty