KYBAMA, INC
NPI 1699486506
Counselor - Professional in Bonne Terre, MO

Q: What is Kybama, Inc's NPI number?

The NPI number for Kybama, Inc is 1699486506. It was assigned to this organization in the NPPES registry on December 12, 2022. The provider is doing business as The Legacy Ranch.

Q: What is Kybama, Inc's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kybama, Inc was last updated on December 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 12, 2022

12729 STONEY POINT RD, BONNE TERRE, MO 63628(573) 631-2897(573) 358-8727 Get Directions Write a Review

NPPES record last updated: December 12, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kybama, Inc NPPES

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

KYBAMA, INC (NPI 1699486506), doing business as The Legacy Ranch, is a healthcare organization registered as a professional in Bonne Terre, Missouri and active in the NPI registry since December 2022. The organization lists Lennie Michael Fincher, President, as its authorized official.

NPPES Registry Identity

NPI1699486506

Entity TypeOrganization

Primary Taxonomy101YP2500X

Legal Business NameKYBAMA, INC

Location Address12729 STONEY POINT RDBonne Terre, MO 63628-5500

Mailing AddressPo Box 71Potosi, MO 63664-0071 · (573) 358-8703 · Fax (573) 358-8727

Phone(573) 631-2897

Fax(573) 358-8727

Organization SubpartNo

Authorized OfficialLennie Michael FincherPresident · (573) 631-2897

Enumeration DateDecember 12, 2022

NPPES CertifiedNovember 17, 2022

✔ NPI 1699486506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

12729 STONEY POINT RD, Bonne Terre, MO 63628

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Other Names 1

Doing Business AsThe Legacy Ranch

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

Other Providers at the Same Location NPPES

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

KYBAMA, INC

Residential Treatment Facility, Emotionally Disturbed Children

12729 STONEY POINT RD
BONNE TERRE, MO 63628

St. Francois County (573) 358-8703

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 Kybama, Inc's NPI number?

The NPI number for Kybama, Inc is 1699486506. It was assigned to this organization in the NPPES registry on December 12, 2022. The provider is doing business as The Legacy Ranch.

Where is Kybama, Inc located?

Kybama, Inc is located at 12729 Stoney Point Rd, Bonne Terre, MO 63628. The listed phone number is (573) 631-2897.

What is Kybama, Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Kybama, Inc was last updated on December 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.