Organization
PCB PROPERTIES LLC
Active
Other names
Way Maker Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
W PAUL BUCKINGHAM LCSW (MEMBER)
(325) 812-5661
Entity
Organization
Contact information
Practice address
1705 W CHESTNUT ST, LOUISVILLE, KY 40203-1609
(502) 554-2797
Mailing address
1705 W CHESTNUT ST, LOUISVILLE, KY 40203-1609
(502) 554-2797
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7101016660
—
KY
Enumeration date
02/21/2024
Last updated
02/25/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up