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BEHAVIORAL HEALTH PROFESSIONALS
NPI 1063810091
Family Medicine - Addiction Medicine in Pikeville, KY

Active since December 08, 2014
400 VENTERS LN STE 100, PIKEVILLE, KY 41501(606) 653-1505 Get Directions Write a Review

NPPES record last updated: September 9, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 9, 2022, Jun 16, 2018, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Behavioral Health Professionals NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEHAVIORAL HEALTH PROFESSIONALS (NPI 1063810091) is a healthcare organization registered as an addiction medicine in Pikeville, Kentucky and active in the NPI registry since December 2014. The organization lists Amber Sisco, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1063810091
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NameRENEW ADDICTION TREATMENT CENTER
Location Address400 VENTERS LN STE 100Pikeville, KY 41501-3016
Mailing AddressPo Box 1285Pikeville, KY 41502-1285
Phone(606) 653-1505
Organization SubpartYesParent: Adapt
Authorized OfficialAmber SiscoManaging Member · (606) 653-1505
Enumeration DateDecember 8, 2014
Last NPPES UpdateSeptember 9, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2022
✔ NPI 1063810091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
License✔ Licensed in KY · 740318
Definition

A family medicine physician who specializes in the diagnosis and treatment of addictions.

Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X · License 740318 (KY)
Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X · License 740318 (KY)
400 VENTERS LN STE 100, Pikeville, KY 41501
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Other Names 2

Doing Business AsBehavioral Health Professionals
Doing Business AsRenew Atc

Other Identifiers 1

Other740318KY · State Facility License- Special Health Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHOENIX TREATMENT CENTERS OUTPATIENT DIVISION, LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
400 VENTERS LN STE 100
PIKEVILLE, KY 41501
Pike County (606) 653-1505

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renew Addiction Treatment Center's NPI number?

The NPI number for Renew Addiction Treatment Center is 1063810091. It was assigned to this organization in the NPPES registry on December 8, 2014. The provider is doing business as Behavioral Health Professionals and Renew ATC.

Where is Renew Addiction Treatment Center located?

Renew Addiction Treatment Center is located at 400 Venters Ln Ste 100, Pikeville, KY 41501. The listed phone number is (606) 653-1505.

What is Renew Addiction Treatment Center's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

When was this NPI record last updated?

The NPPES record for Renew Addiction Treatment Center was last updated on September 9, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.