NPI 1033771555
Second Mile Behavioral Health LLC
Practice location
- Address
- 280 Levi Jackson Mill Rd STE a, London, KY 40744-8325
- Phone
- (606) 657-5504
Authorised official
- Name
- Lagina Michelle Smith
- Title
- Owner
- Phone
- (606) 309-3930
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1033771555
- Entity type
- Organization
- NPI issued
- 4 Jul 2019
- Record last updated
- 4 Jul 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.