Organization
PRODIGAL MINISTRIES, LLC
Active
Other names
PRODIGAL COUNSELING SERVICES, Prodigal Ministries
Organization subpart
No
Provider details
NPI number
Authorized official
NINA J ROY (RECONCILIATION DIRECTOR)
(270) 585-4306
Entity
Organization
Contact information
Practice address
4414 OLD LAGRANGE RD, BUCKNER, KY 40010-9547
(502) 222-2389
Mailing address
PO BOX 1484, CRESTWOOD, KY 40014-1484
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
02/21/2022
Last updated
12/12/2023
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