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

Origin Trauma and Addiction Treatment PLLC

Organization Psychiatry Physician · NPI 1407697972

Origin Trauma and Addiction Treatment PLLC is a Psychiatry Physician in Bowling Green, Kentucky. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

958 Collett Ave Ste 322
Bowling Green, KY 42101-2309
Phone: (615) 745-9058
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1407697972
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christian Schrader — Owner · (214) 679-7017
Other names Origin Trauma And Addiction Treatment; Origin Trauma And Addiction Treatment
NPI enumeratedJune 6, 2024
Last updated in NPPESJanuary 3, 2025
Certification dateJanuary 3, 2025
Mailing address2413 Nashville Rd Ste 310, Bowling Green, KY 42101-4101

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