Mindclub Kentucky LLC
NPI #1033005079 in Hopkinsville, Kentucky
Provider Information
- NPI Number
- 1033005079
- Entity Type
- Organization
- Organization Name
- Mindclub Kentucky LLC
- Primary Specialty
- Nurse Practitioner - Primary Care
- Enumeration Date
- Jun 16, 2025
- Last Updated
- Jun 16, 2025
Practice Location
- Address
- 111 DERRICK PL
- City
- Hopkinsville
- State
- Kentucky
- ZIP Code
- 42240-1325
- Phone
- (833) 833-9655
Authorized Official
- Name
- KATHY RICHARDSON
- Title
- VP, CAO
- Phone
- (615) 390-2865
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Counselor - Mental Health — Mental Health |
| Counselor |
| Nurse Practitioner - Primary Care — Primary Care |
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