Active NPI
Wkda Services LLC
- Community/Behavioral Health Agency
- Union City, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- I000000013974
- Legal business name
- WKDA SERVICES LLC
- Practice address
- 1720 E Reelfoot Ave
Suite 101
Union City, TN 38261-6047 - Phone
- (731) 884-9010
- Fax
- (270) 247-2017
- NPI assigned
- Jun 19, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Marty Cobb, BS
- Title
- Owner/Program Adminstrator
- Phone
- (270) 247-4212
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | I000000013974 | TN | Primary |
Addresses
Primary practice location
1720 E Reelfoot Ave
Suite 101
Union City, TN 38261-6047
Mailing address
1720 E Reelfoot Ave
Suite 101
Union City, TN 38261-6047
Phone (731) 884-9010
National Provider Directory
National Provider Directory- Tax ID family
- West Kentucky Drug Alcohol Intervention Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Addiction (Substance Use Disorder) Counselor
- Mayfield, KY
- NPI 1275947905
Locations
1720 E Reelfoot Ave
Ste 101
Union City, TN 38261
Phone (731) 884-9993
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Mayfield, KY
- NPI 1538900444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403136000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1403136000000",
"number": "1447664271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 E REELFOOT AVE",
"address_2": "SUITE 101",
"city": "UNION CITY",
"state": "TN",
"postal_code": "382616047",
"telephone_number": "731-884-9010",
"fax_number": "270-247-2017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 E REELFOOT AVE",
"address_2": "SUITE 101",
"city": "UNION CITY",
"state": "TN",
"postal_code": "382616047",
"telephone_number": "731-884-9010",
"fax_number": "270-247-2017"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WKDA SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-19",
"last_updated": "2014-06-19",
"status": "A",
"authorized_official_last_name": "COBB",
"authorized_official_first_name": "MARTY",
"authorized_official_title_or_position": "OWNER/PROGRAM ADMINSTRATOR",
"authorized_official_telephone_number": "270-247-4212",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "BS"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "TN",
"license": "I000000013974",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Union City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.