Provider Demographics
NPI:1790666865
Name:BEHAVIORAL AND ADDICTION SERVICES
Entity type:Organization
Organization Name:BEHAVIORAL AND ADDICTION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAGDALEN
Authorized Official - Middle Name:K
Authorized Official - Last Name:MEKOH
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:859-705-7770
Mailing Address - Street 1:717 ROSSLYNS DL
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40514-1189
Mailing Address - Country:US
Mailing Address - Phone:859-436-5174
Mailing Address - Fax:714-604-1767
Practice Address - Street 1:200 E REYNOLDS RD STE 9
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40517-1245
Practice Address - Country:US
Practice Address - Phone:859-705-7770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-08
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)