Organization · Type 2 NPI
Shore Side Behavioral Health Service, LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · South Shore, KY
NPI number
1255281028
Active
Practice location
116 E 4th Ave
South Shore, KY 41175-8927
Fax (606) 826-1780
Mailing address
PO Box 204
South Shore, KY 41175-0204
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
About NPI 1255281028
Shore Side Behavioral Health Service, LLC's National Provider Identifier is 1255281028, issued on Feb 2, 2026. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in South Shore, KY. The record was last updated on Feb 2, 2026.