HARBOR OF HOPE MEDICAL AND BEHAVIORAL HEALTH CARE, LLC - NPI 1134738412

Q: What is Harbor Of Hope Medical And Behavioral Health Care, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

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About Harbor Of Hope Medical And Behavioral Health Care, Llc NPPES

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

HARBOR OF HOPE MEDICAL AND BEHAVIORAL HEALTH CARE, LLC (NPI 1134738412) is a healthcare organization registered as a professional in Barbourville, Kentucky and active in the NPI registry since July 2020. The organization holds a CLIA Waiver certificate valid through January 1, 2028 and lists Thelma Jean Gray, Aprn/owner, as its authorized official.

NPPES Registry Identity

NPI1134738412

Entity TypeOrganization

Primary Taxonomy101YP2500X

Legal Business NameHARBOR OF HOPE MEDICAL AND BEHAVIORAL HEALTH CARE, LLC

Location Address185 TREUHAFT BLVD, STE 4Barbourville, KY 40906-8300

Mailing Address868 Sam Parker RdGray, KY 40734-6780 · (606) 269-3428 · Fax (606) 545-0366

Phone(606) 545-6766

Fax(606) 545-0366

Organization SubpartNo

Authorized OfficialThelma Jean GrayAprn/owner · (606) 545-6766

Enumeration DateJuly 23, 2020

Last NPPES UpdateJanuary 30, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 23, 2023

✔ NPI 1134738412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

185 TREUHAFT BLVD, Barbourville, KY 40906

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Other Identifiers 1

Medicaid7100663490KY

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 SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D2177054

Harbor Of Hope Medical And Behavioral Health Care, LLC · Barbourville, KY

Active · expires Jan 1, 2028

CLIA Number18D2177054

Laboratory TypePhysician Office

Certificate Effective DateJanuary 2, 2026

Certificate Expiration DateJanuary 1, 2028

Laboratory DirectorMs. Thelma J. Gray

Laboratory Phone(606) 545-6766

Laboratory LocationHarbor Of Hope Medical And Behavioral Health Care, LLC185 Treuhaft Blvd, Ste 4, Barbourville, KY 40906

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

JERRY TODD WARD LCSW

Social Worker (Clinical)

185 TREUHAFT BLVD
BARBOURVILLE, KY 40906

Knox County (606) 546-2757

HARBOR OF HOPE MEDICAL AND BEHAVIORAL HEALTH CARE, LLC

Psychiatry & Neurology (Psychiatry)

185 TREUHAFT BLVD, SUITE 4
BARBOURVILLE, KY 40906

Knox County (606) 546-6766

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 Harbor Of Hope Medical And Behavioral Health Care, LLC's NPI number?

The NPI number for Harbor Of Hope Medical And Behavioral Health Care, LLC is 1134738412. It was assigned to this organization in the NPPES registry on July 23, 2020.

Where is Harbor Of Hope Medical And Behavioral Health Care, LLC located?

Harbor Of Hope Medical And Behavioral Health Care, LLC is located at 185 Treuhaft Blvd Ste 4, Barbourville, KY 40906. The listed phone number is (606) 545-6766.

What is Harbor Of Hope Medical And Behavioral Health Care, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Does Harbor Of Hope Medical And Behavioral Health Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2177054) is associated with this NPI, valid through January 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Harbor Of Hope Medical And Behavioral Health Care, LLC was last updated on January 30, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.