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

Mindclub Kentucky LLC

Organization Counselor · NPI 1033005079

Mindclub Kentucky LLC is a Counselor in Hopkinsville, Kentucky. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
4
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

111 Derrick Pl
Hopkinsville, KY 42240-1325
Phone: (833) 833-9655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X
Counselor Taxonomy 101Y00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1033005079
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathy Richardson — Vp, Cao · (615) 390-2865
NPI enumeratedJune 16, 2025
Last updated in NPPESJune 16, 2025
Certification dateJune 16, 2025
Mailing address106 Mission Ct Ste 201a, Franklin, TN 37067-6441

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