Organization · Type 2 NPI
KCC Recovery, LLC dba Bluegrass Recovery, LLC
Professional Counselor · Louisville, KY
NPI number
1699261529
Active
Practice location
1169 Eastern Pkwy Ste 3310
Louisville, KY 40217-1415
Fax (502) 333-9180
Mailing address
17127 Piton Way
Louisville, KY 40245-5409
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Nurse Practitioner | 363L00000X | None listed |
Professional Counselor: Definition to come...
2 other providers at this address
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About NPI 1699261529
KCC Recovery, LLC dba Bluegrass Recovery, LLC's National Provider Identifier is 1699261529, issued on Jul 3, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Louisville, KY. The record was last updated on Jun 30, 2020.