| Legacy Recovery For Women | |
|
910 Gardenia Dr Campbellsville KY 42718-1933 | |
| (270) 849-7312 | |
| Not Available |
| Full Name | Legacy Recovery For Women |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 910 Gardenia Dr, Campbellsville, Kentucky |
| Authorized Official Name and Position | Derek Bishop (OWNER/CEO) |
| Authorized Official Contact | 2702682232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Recovery For Women 910 Gardenia Dr Campbellsville KY 42718-1933 Ph: (270) 849-7312 | Legacy Recovery For Women 910 Gardenia Dr Campbellsville KY 42718-1933 Ph: (270) 849-7312 |
| NPI Number | 1487594578 |
|---|---|
| Provider Enumeration Date | 03/30/2026 |
| Last Update Date | 03/30/2026 |
| Certification Date | 03/30/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487594578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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