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.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 July, 2026.