Organization
LAKE CUMBERLAND COMMUNITY ACTION AGENCY, INC.
Active
Organization
LAKE CUMBERLAND COMMUNITY ACTION AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH DAVENPORT (FINANCE DIRECTOR)
(270) 343-4600
Entity
Organization
Contact information
Practice address
9321 RUSSELL SPRINGS RD, RUSSELL SPRINGS, KY 42642-7713
(270) 343-4600
Mailing address
PO BOX 830, JAMESTOWN, KY 42629-0830
(270) 343-4600
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172A00000X
Driver
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
—
—
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
405300000X
Prevention Professional
—
—
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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