# COMMONWEALTH COUNSELING CORP

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

## Provider details

- **NPI number:** 1659474518
- **Authorized official:** PEGGY H. MULLINS MSW (OWNER)
- **Authorized official phone:** (270) 881-1062

## Contact information

- **Practice address:** 1609 S MAIN ST, HOPKINSVILLE, KY 42240-1970
- **Practice address phone:** (270) 881-1062
- **Practice address fax:** (270) 887-0785
- **Mailing address:** 1861 E. 9TH ST., HOPKINSVILLE, KY 42240-1970
- **Mailing address phone:** (270) 881-1062
- **Mailing address fax:** (270) 887-0785

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC0700X | Clinical Psychologist | KY1182 | KY | — |
| 1041C0700X | Clinical Social Worker | KY03 | KY | Yes |

## Other

- **Enumeration date:** 09/06/2006
- **Last updated:** 10/30/2007