Organization · Type 2 NPI

Mindclub Kentucky LLC

Primary Care Nurse Practitioner · Hopkinsville, KY

NPI number 1033005079 Active

Practice location

111 Derrick Pl
Hopkinsville, KY 42240-1325

Call (833) 833-9655 Map

Mailing address

106 Mission Ct Ste 201A
Franklin, TN 37067-6441

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed
Primary Care Nurse Practitioner Primary 363LP2300XNone listed

Primary Care Nurse Practitioner: Definition to come...

4 other providers at this address

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About NPI 1033005079

Mindclub Kentucky LLC's National Provider Identifier is 1033005079, issued on Jun 16, 2025. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Hopkinsville, KY. The record was last updated on Jun 16, 2025.