Lereasa Lynne Pedigo in Bowling Green - Addiction (substance Use Disorder)
Lereasa Lynne Pedigo - NPI 1396870804
Lereasa Lynne Pedigo is a Addiction (substance Use Disorder) in Bowling Green, Kentucky. Lereasa Lynne Pedigo practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Lereasa Lynne Pedigo is 1396870804. The last update date is 2007-07-08.
Lereasa Lynne Pedigo's current location address is 822 Woodway St, Bowling Green, Kentucky. You can contact this provider via phone number 2709015000 and fax number 2708420721. The mailing address for Lereasa Lynne Pedigo is 822 Woodway St, Bowling Green, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lereasa Lynne Pedigo |
|---|---|
| Address | 822 Woodway St, Bowling Green, Kentucky |
| Phone Number | 2709015000 |
| Fax Number | 2708420721 |
| Sole Proprietor | N |
| Credentials | CADC |
NPI Number Detail
| NPI Number | 1396870804 |
|---|---|
| Provider Enumeration Date | 2007-02-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 822 Woodway St |
|---|---|
| City | Bowling Green |
| State | Kentucky (KY) |
| Post Code | 421012771 |
| Phone Number | 2709015000 |
| Fax Number | 2708420721 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 272 |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30604011 | KY | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Lereasa Lynne Pedigo?
The Lereasa Lynne Pedigo has been issued the NPI (National Provider Identifier) 1396870804 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Lereasa Lynne Pedigo is physically located?
The Lereasa Lynne Pedigo is situated at the following address: 822 Woodway St, Bowling Green, KY 421012771.
What is Lereasa Lynne Pedigo's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Lereasa Lynne Pedigo is Addiction (substance Use Disorder), and the taxonomy code that categorizes this field of expertise is 101Ya0400X.
When did the Lereasa Lynne Pedigo receive its 1396870804?
The Lereasa Lynne Pedigo was issued its 1396870804 on 2007-02-23, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Lereasa Lynne Pedigo, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lereasa Lynne Pedigo, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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