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

Southern Rose Psychotherapy, LLC

Organization Clinical Social Worker · NPI 1962150615

Southern Rose Psychotherapy, LLC is a Clinical Social Worker in Paducah, Kentucky. Registered with an NPI since 2022.

In the registry since
2022
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

555 Jefferson St Ste 301
Paducah, KY 42001-1088
Phone: (971) 334-1940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1962150615
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Megan Larson — Therapist · (971) 334-1940
NPI enumeratedMarch 11, 2022
Last updated in NPPESMarch 11, 2022
Certification dateMarch 11, 2022
Mailing address2780 New Holt Rd Ste D373, Paducah, KY 42001-7441

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