Organization
LEGACY RECOVERY FOR WOMEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEREK BISHOP MBA (OWNER/CEO)
(270) 268-2232
Entity
Organization
Contact information
Practice address
910 GARDENIA DR, CAMPBELLSVILLE, KY 42718-1933
(270) 849-7312
Mailing address
910 GARDENIA DR, CAMPBELLSVILLE, KY 42718-1933
(270) 849-7312
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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