| Organization Name: | ESTES BEHAVIORAL HEALTH, LLC |
| NPI Number: | 1194075150 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JESSICA L ESTES (OWNER) |
| Mailing Address: | 1210 4th St Lewisport |
| State: | KY US |
| Postal Code: | 423512526 |
| Phone Number: | 2702956450 |
| Fax Number: | 2702956452 |
| NPI Enumeration Date: | 09/17/2012 |
| NPI Last Update Date: | 07/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | 3004576 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |