# PRODIGAL MINISTRIES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PRODIGAL COUNSELING SERVICES, Prodigal Ministries
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013662717
- **Authorized official:** NINA J ROY (RECONCILIATION DIRECTOR)
- **Authorized official phone:** (270) 585-4306

## Contact information

- **Practice address:** 4414 OLD LAGRANGE RD, BUCKNER, KY 40010-9547
- **Practice address phone:** (502) 222-2389
- **Mailing address:** PO BOX 1484, CRESTWOOD, KY 40014-1484

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 324500000X | Substance Abuse Rehabilitation Facility | — | NULL | — |

## Other

- **Enumeration date:** 02/21/2022
- **Last updated:** 12/12/2023