MINDCLUB KENTUCKY LLC

HOPKINSVILLE, KY
NPI1033005079
Entity TypeOrganization
Authorized ContactKATHY RICHARDSON
VP, CAO
615-390-2865
Organization Subpart ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
101YM0800X Counselor, Mental Health
101Y00000X Counselor
Enumeration Date2025-06-16
Last Update Date2025-06-16
Business Address
MINDCLUB KENTUCKY LLC
111 DERRICK PL
HOPKINSVILLE, KY 42240-1325
Phone number: 833-833-9655
Mailing Address
MINDCLUB KENTUCKY LLC
106 MISSION CT STE 201A
FRANKLIN, TN 37067-6441
Phone number: 153-902-8656