Individual provider · Type 1 NPI

William David Back, LPCC, TACDC

Professional Counselor · Frankfort, KY

NPI number 1083135636 Active

Practice location

649 Chamberlin Ave Ste 2500
Frankfort, KY 40601-4288

Call (216) 468-5000 Map

Fax (216) 456-8128

Mailing address

4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X162868 (KY)
Addiction (Substance Use Disorder) Counselor 101YA0400X168467 (KY)

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About NPI 1083135636

William David Back, LPCC, TACDC's National Provider Identifier is 1083135636, issued on Jul 5, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Frankfort, KY. The record was last updated on Jun 29, 2026.