EMERALD THERAPY CENTER LLC NPI 1023715281

NPI Information

  • NPI: 1023715281
  • Provider Name: EMERALD THERAPY CENTER, LLC
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: EMERALD HEALTHCARE GROUP
  • CLIA Number: 18D2275602
  • Address: 2520 NEW HOLT RD STE I
    PADUCAH, KY
    ZIP 42001
  • Phone: (270) 558-3916

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NPI Details

EMERALD THERAPY CENTER, LLC is a rural health clinic center in Paducah, KY. EMERALD THERAPY CENTER, LLC NPI is 1023715281. The provider is registered as an organization entity type.
The provider Is Doing Business As Emerald Healthcare Group.

The provider's business location address is:

2520 NEW HOLT RD STE I
PADUCAH, KY
ZIP 42001-547
Phone: (270) 558-3916

The provider's authorized official is Shelly Baer .
The authorized official title is Executive Director and has the following contact phone number (270) 534-5128.

The CLIA number assigned to this NPI record is 18D2275602 - other - behavioral health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/8/2023 and was last updated on 1/17/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR1300XClinic/CenterRural HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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