Individual provider · Type 1 NPI

Juanita Simmons Hagan, LPCC

Professional Counselor · Shelbyville, KY

NPI number 1790639672 Active

Practice location

998 Brooks Industrial Rd
Shelbyville, KY 40065-8154

Fax (502) 633-1316

Mailing address

9212 Foxtail Ct
Crestwood, KY 40014-8509

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X305754 (KY)

Professional Counselor: Definition to come...

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About NPI 1790639672

Juanita Simmons Hagan, LPCC's National Provider Identifier is 1790639672, issued on Feb 25, 2026. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Shelbyville, KY. The record was last updated on Feb 25, 2026.