Provider Demographics
NPI:1417192055
Name:GARVIN, ARTHUR (LPCA)
Entity type:Individual
Prefix:
First Name:ARTHUR
Middle Name:
Last Name:GARVIN
Suffix:
Gender:M
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1031 BROOKHAVEN RD
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:KY
Mailing Address - Zip Code:42134-2743
Mailing Address - Country:US
Mailing Address - Phone:270-586-8826
Mailing Address - Fax:270-586-8828
Practice Address - Street 1:1031 BROOKHAVEN RD
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:KY
Practice Address - Zip Code:42134-2743
Practice Address - Country:US
Practice Address - Phone:270-586-8826
Practice Address - Fax:270-586-8828
Is Sole Proprietor?:No
Enumeration Date:2008-12-11
Last Update Date:2008-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-0781101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY30604011Medicaid