Organization · Type 2 NPI

Prodigal Ministries, LLC

Mental Health Counselor · Buckner, KY

NPI number 1013662717 Active

Practice location

4414 Old Lagrange Rd
Buckner, KY 40010-9547

Call (502) 222-2389 Map

Mailing address

PO Box 1484
Crestwood, KY 40014-1484

Other practice locations

121 W Oak St, Louisville, KY 40203-2813 · (502) 222-2389
6501 W Highway 22, Crestwood, KY 40014-9317 · (502) 222-2389
256 Main St Ste B, Florence, KY 41042-2050 · (502) 222-2389

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor Primary	101YM0800X	None listed
Substance Abuse Rehabilitation Facility	324500000X	None listed

Mental Health Counselor: Definition to come...

10 other providers at this address

NPI record

NPI: 1013662717
Entity type: Organization (Type 2)
Issued: Feb 21, 2022
Last updated: Dec 12, 2023
Status: Active

Other names

<unavail>
Prodigal Counseling Services · doing business as
Prodigal Ministries · doing business as
Prodigal Ministries · doing business as

Authorized official

Nina J Roy
Reconciliation Director
(270) 585-4306

Verify this record

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About NPI 1013662717

Prodigal Ministries, LLC's National Provider Identifier is 1013662717, issued on Feb 21, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Buckner, KY. The record was last updated on Dec 12, 2023.