Organization · Type 2 NPI

Foothills Academy, Inc.

Emotionally Disturbed Childrens' Residential Treatment Facility · Monticello, KY

NPI number 1114291879 Active

Practice location

80 Rolling Hills Blvd
Monticello, KY 42633-9005

Call (606) 343-0216 Map

Fax (606) 343-0224

Other practice locations

132 Foothills Ave, Albany, KY 42602-1090 · (606) 387-0567

Specialties and licenses

Taxonomy	Code	License
Clinic/Center	261Q00000X	None listed
Mental Health Clinic/Center (Including Community Mental Health Center)	261QM0801X	None listed
Multi-Specialty Clinic/Center	261QM1300X	None listed
Emotionally Disturbed Childrens' Residential Treatment Facility Primary	322D00000X	500595 (KY)
Children's Substance Abuse Rehabilitation Facility	3245S0500X	500595 (KY)

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

12 other providers at this address

NPI record

NPI: 1114291879
Entity type: Organization (Type 2)
Issued: Feb 28, 2012
Last updated: May 14, 2021
Status: Active

Other names

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Community Based Interventions · doing business as
Community Based Interventions · doing business as
Otter Creek · doing business as

Authorized official

Samantha Ann Simmons, LPCC, LCADC
Director
(606) 343-0216

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114291879

Foothills Academy, Inc.'s National Provider Identifier is 1114291879, issued on Feb 28, 2012. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Monticello, KY. The record was last updated on May 14, 2021.