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

Mrs. Fancy Marie Kilgore, LADACII

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1366300493

Mrs. Fancy Marie Kilgore, LADACII is an Addiction (Substance Use Disorder) Counselor in Winchester, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2026

Practice location Address checks out

100 1st Ave SW Ste 3
Winchester, TN 37398-1754
Phone: (931) 313-1588
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 1797 (TN)

Record details

NPI number1366300493
Entity typeIndividual (Type 1)
GenderFemale
Credentials LADACII
Sole proprietorYes
NPI enumeratedJanuary 15, 2026
Last updated in NPPESJanuary 15, 2026
Certification dateJanuary 15, 2026