Individual
HOMER COUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, PMHNP-BC
Contact information
Practice address
638 E COLLEGE AVE STE B, STANTON, KY 40380-2363
(606) 318-3500
(606) 318-3503
Mailing address
PO BOX 286, LOST CREEK, KY 41348-0286
(606) 309-5729
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4036163
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7101052340
—
KY
Enumeration date
03/07/2025
Last updated
04/24/2025
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