Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kcc Recovery, LLC Dba Bluegrass Recovery, LLC

Organization Professional Counselor · NPI 1699261529

Kcc Recovery, LLC Dba Bluegrass Recovery, LLC is a Professional Counselor in Louisville, Kentucky. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1169 Eastern Pkwy Ste 3310
Louisville, KY 40217-1415
Phone: (502) 443-5273
Fax: (502) 333-9180
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X
Community/Behavioral Health Agency Taxonomy 251S00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1699261529
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laronica Lawson — Ceo · (502) 483-1862
NPI enumeratedJuly 3, 2018
Last updated in NPPESJune 30, 2020
Certification dateJune 30, 2020
Mailing address17127 Piton Way, Louisville, KY 40245-5409

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