Lake Cumberland Recovery, Inc
Organization Active NPI Substance Abuse Rehabilitation Facility · Burnside, KY
NPI 1013553247 · NPPES record last updated Sep 19, 2024
Key facts
- NPI
- 1013553247
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- Legal business name
- LAKE CUMBERLAND RECOVERY, INC
- Practice address
- 8294 S Highway 27
Burnside, KY 42519-9412 - Phone
- (606) 516-9939
- NPI assigned
- Nov 22, 2019
- Organization subpart
- No
Authorized official
- Name
- Mikkle Lee Hampton
- Title
- President
- Phone
- (606) 516-9939
Corporate family (same tax ID) 5
Practitioners 3
-
Leon Ellison, M.ED., LPCC
-
Mary Rebecca Hounshell, LPCC
-
Rayma Madden, CADC
National Provider Directory
- Tax ID family
- Lake Cumberland Recovery Inc
Locations
202 N Main St
Somerset, KY 42501
Phone (606) 341-1160
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Yes |
Addresses
Primary practice location
8294 S Highway 27
Burnside, KY 42519-9412
Mailing address
505 Wondering Woods Dr
Somerset, KY 42503
Phone (606) 516-9939
Other practice location 1
211 Industrial Park Rd
Mount Vernon, KY 40456-6373
Phone (606) 416-5590
Other providers in Burnside, KY
- Burnside Chiropractic
- Morgan Coffey
- Patty Guinn
- Lake Cumberland District Health Dept
- Lake Cumberland Recovery, Inc
- Lakeshore Pharmacy Inc.
- Lewis Martin Misinay
- Lori Beth Stogsdill
All providers in Burnside, KY · Substance Abuse Rehabilitation Facility in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.