Blanford Pediatric Therapy Llc is a Counselor Clinic in Bardstown, Kentucky. It is located at 201 S 5th St, Bardstown, KY and its contact number is 502-331-5478. The authorized person for Blanford Pediatric Therapy Llc is Angie Boltwood
who is Billing Manager of the clinic and his/her contact number is 770-530-9051. Blanford Pediatric Therapy Llc Clinic has counselors who are trained and educated in the performance of behavior health services through interpersonal communications and analysis. Counselors offer guidance to individuals, couples, families and groups who are dealing with issues that affect their mental health and well-being.
Complete Clinic Profile:
Blanford Pediatric Therapy Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Blanford Pediatric Therapy Llc
Specialization:
Counselor
Clinic Address:
201 S 5th St, Bardstown, Kentucky, 40004-1142
Phone:
502-331-5478
Fax:
502-385-0234
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Angie Boltwood
Position:
Billing Manager
Contact Number:
770-530-9051
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Blanford Pediatric Therapy Llc clinic are as mentioned below.
NPI Number:
1093220741
NPI Enumeration Date:
04 Dec, 2017
NPI Last Update On:
31 Aug, 2023
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Blanford Pediatric Therapy Llc are as mentioned below.
Specialization
License Number
State
Status
Social Worker
Primary
Counselor
Secondary
Behavioral Analyst
Secondary
Psychologist
Secondary
Assistant Behavior Analyst
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
7100424590
Medicaid
Kentucky
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Blanford Pediatric Therapy Llc 201 S 5th St, Bardstown, Kentucky
Zip:
40004-1142
Phone Number:
502-331-5478
Fax Number:
502-385-0234
Patients can reach Blanford Pediatric Therapy Llc at 201 S 5th St, Bardstown, Kentucky or can call to book an appointment on 502-331-5478. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.