Provider Demographics
NPI:1982482105
Name:ACORN BEHAVIORAL HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:ACORN BEHAVIORAL HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PMHNP
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:DALE
Authorized Official - Last Name:SARTEN
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:833-226-7624
Mailing Address - Street 1:1067 N MAIN ST
Mailing Address - Street 2:PMB 284
Mailing Address - City:NICHOLASVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40356-2407
Mailing Address - Country:US
Mailing Address - Phone:833-226-7624
Mailing Address - Fax:833-269-7474
Practice Address - Street 1:709 MILLPOND RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40514-1561
Practice Address - Country:US
Practice Address - Phone:833-226-7624
Practice Address - Fax:833-269-7474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-19
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty