Organization
KENTUCKY RIVER COMMUNITY CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIA ADAMS (CFO)
(606) 666-4351
Entity
Organization
Contact information
Practice address
115 ROCKWOOD LN, HAZARD, KY 41701-9415
(606) 436-4071
(606) 436-5797
Mailing address
115 ROCKWOOD LN, HAZARD, KY 41701-9415
(606) 436-5761
(606) 436-5797
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
101YS0200X
School Counselor
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TS0200X
School Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
174400000X
Specialist
—
—
225X00000X
Occupational Therapist
—
—
261QP2300X
Primary Care Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30612022
—
KY
Enumeration date
05/09/2006
Last updated
09/19/2023
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