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

Mystyk River Retreat Center, LLC

Organization Specialist · NPI 1629236070

Mystyk River Retreat Center, LLC is a Specialist in Carrollton, Kentucky. Registered with an NPI since 2008.

In the registry since
2008
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

1732 Kingsridge Rd
Carrollton, KY 41008-8655
Phone: (502) 732-9938
Fax: (502) 732-9938
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1629236070
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Garnet Worthington — Manager/Co-Owner · (502) 732-9938
NPI enumeratedJune 1, 2008
Last updated in NPPESJune 1, 2008
Mailing address1732 Kingsridge Rd, Carrollton, KY 41008-8655