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Timothy Hendricks
Peer Specialist in Hopkinsville, Kentucky
NPI 1881229383

Timothy Hendricks is a Peer Specialist based in Hopkinsville, KY. Timothy Hendricks practices in Hopkinsville, KY. The NPI Number for Timothy Hendricks is 1881229383 and holds a License No. (Kentucky).

The current practice location address for Timothy Hendricks is 2400 Russellville Rd, Hopkinsville, KY and can be reached out via phone at 270-887-5697 and via fax at 270-887-5849.

Location: 2400 Russellville Rd, Hopkinsville, KY, 42241-0614
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881229383
Provider Name
Timothy Hendricks
Credential
Provider Entity Type
Individual
Gender
Male
Address
2400 Russellville Rd, Hopkinsville, KY, 42241-0614
Phone Number
270-887-5697
Fax Number
270-887-5849
Provider Enumeration Date
03/05/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2400 Russellville Rd
City
Hopkinsville
State
Kentucky
Zip
42240-8095
Phone Number
270-887-5697
Fax Number
270-887-5849
person
Provider Business Mailing Address Details
Address
2400 Russellville Rd
City
Hopkinsville
State
Kentucky
Zip
42240-8095
Phone Number
270-887-5697
Fax Number
270-887-5849
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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