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

Lake Cumberland Community Action Agency, Inc

Organization Addiction (Substance Use Disorder) Counselor · NPI 1386325447

Lake Cumberland Community Action Agency, Inc is an Addiction (Substance Use Disorder) Counselor in Russell Springs, Kentucky. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
12
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9321 Russell Springs Rd
Russell Springs, KY 42642-7713
Phone: (270) 343-4600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Management Agency (primary) Taxonomy 251B00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X
Professional Counselor Taxonomy 101YP2500X
Social Worker Taxonomy 104100000X
Clinical Social Worker Taxonomy 1041C0700X
Case Manager/Care Coordinator Taxonomy 171M00000X
Driver Taxonomy 172A00000X
Community Health Worker Taxonomy 172V00000X
Peer Specialist Taxonomy 175T00000X
Community/Behavioral Health Agency Taxonomy 251S00000X
Prevention Professional Taxonomy 405300000X

Record details

NPI number1386325447
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Beth Davenport — Finance Director · (270) 343-4600
NPI enumeratedJuly 31, 2023
Last updated in NPPESJuly 31, 2023
Certification dateJuly 31, 2023
Mailing addressPo Box 830, Jamestown, KY 42629-0830

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