Provider Demographics
NPI:1811566102
Name:BALANCED BEHAVIORAL HEALTH KY LLC
Entity type:Organization
Organization Name:BALANCED BEHAVIORAL HEALTH KY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:TEMPLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:859-963-1619
Mailing Address - Street 1:360 S HILL RD
Mailing Address - Street 2:
Mailing Address - City:VERSAILLES
Mailing Address - State:KY
Mailing Address - Zip Code:40383-8663
Mailing Address - Country:US
Mailing Address - Phone:859-963-1619
Mailing Address - Fax:
Practice Address - Street 1:1021 MAJESTIC DR STE 180
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40513-1866
Practice Address - Country:US
Practice Address - Phone:859-753-7950
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TEMPLEMAN II HOLDINGS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-06-21
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty