Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Time Out Community Counseling and Correctional Services, LLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1558679480

Time Out Community Counseling and Correctional Services, LLC is an Addiction (Substance Use Disorder) Counselor in Glasgow, Kentucky. Licensed in Kentucky. Registered with an NPI since 2010.

Licensed in
KY
In the registry since
2010
Specialties on file
6
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

1502 Park City Glasgow Rd
Glasgow, KY 42141-7209
Phone: (270) 678-3138
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 0531 (KY)
Registered Nurse Taxonomy 163W00000X · Licence 1107277 (KY)
Addiction (Substance Use Disorder) Registered Nurse Taxonomy 163WA0400X · Licence 1107277 (KY)
Case Management Registered Nurse Taxonomy 163WC0400X · Licence 1107277 (KY)
Continuing Education/Staff Development Registered Nurse Taxonomy 163WC1600X · Licence 1107277 (KY)
Community/Behavioral Health Agency Taxonomy 251S00000X · Licence 810288 (KY)

Record details

NPI number1558679480
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angela Farley — Office Manager/Educator · (270) 237-3463
NPI enumeratedSeptember 14, 2010
Last updated in NPPESSeptember 23, 2010
Mailing address102 W Public Sq, Scottsville, KY 42164-1175

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