# PASSAGE BEHAVIORAL HEALTH PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073341285
- **Authorized official:** DR. GINA L BOWLIN LCSW, LCADC (OWNER, THERAPIST)
- **Authorized official phone:** (606) 620-3936

## Contact information

- **Practice address:** 1707 CUMBERLAND FALLS HWY STE L6, CORBIN, KY 40701-2745
- **Practice address phone:** (606) 656-4020
- **Mailing address:** PO BOX 1691, CORBIN, KY 40702-1691
- **Mailing address phone:** (606) 656-4020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 07/22/2024
- **Last updated:** 07/22/2024