Roberts, Anthony Bernard

Roberts, Anthony Bernard is an sole proprietor health care provider with primary practice located at 126 E Evelyn Ave , Monticello KY 42633-1210. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Roberts, Anthony Bernard can be contacted via phone (606) 348-0440.

Contact Information

Primary practice address
126 E Evelyn Ave Monticello KY 42633-1210
Phone: (606) 348-0440
Fax: (606) 348-0440
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 164870 Kentucky
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 166605 Kentucky

Profile Details

NPI number 1891178109
LBN Legal business name Roberts, Anthony Bernard
Credentials LPCC, LCADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2015
Last updated Mar 22nd, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891178109 NPPES
Kentucky MEDICAID 7100374120

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