# PUCKETT COUNSELING SERVICES

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

## Provider details

- **NPI number:** 1851669972
- **Authorized official:** MS. PEGGY SMITH-PUCKETT LMFT (PRESIDENT)
- **Authorized official phone:** (270) 629-6373

## Contact information

- **Practice address:** 220 N RACE ST, GLASGOW, KY 42141-2816
- **Practice address phone:** (270) 629-6373
- **Practice address fax:** (270) 479-1302
- **Mailing address:** 2130 WILLIE GROCE RD, GLASGOW, KY 42141-7831
- **Mailing address phone:** (270) 629-6373
- **Mailing address fax:** (270) 479-1302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 106H00000X | Marriage & Family Therapist | 0615 | KY | Yes |

## Other

- **Enumeration date:** 12/03/2011
- **Last updated:** 08/14/2014