# LAKE CUMBERLAND CHILDREN'S ADVOCACY CENTER

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

## Provider details

- **NPI number:** 1770792699
- **Authorized official:** MS. PAMELA TRABISH EADS LCSW,BCD (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (270) 343-6922

## Contact information

- **Practice address:** 427 SOUTH MAIN STREET, JAMESTOWN, KY 42629-0004
- **Practice address phone:** (270) 343-6922
- **Practice address fax:** (270) 343-6006
- **Mailing address:** PO BOX 4, JAMESTOWN, KY 42629-0004
- **Mailing address phone:** (270) 343-6922
- **Mailing address fax:** (270) 343-6006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/21/2007
- **Last updated:** 09/18/2007