WKDA SERVICES LLC NPI 1275947905

NPI Information

  • NPI: 1275947905
  • Provider Name: WKDA SERVICES LLC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • :
  • Address: 120 N 9TH ST
    MAYFIELD, KY
    ZIP 42066
  • Phone: (270) 247-4212

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NPI Details

WKDA SERVICES LLC is an addiction (substance use disorder) counselor in Mayfield, KY. WKDA SERVICES LLC NPI is 1275947905. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

120 N 9TH ST
MAYFIELD, KY
ZIP 42066-800
Phone: (270) 247-4212
Fax: (270) 247-2017

The provider's authorized official is Marty Cobb .
The authorized official title is Owner/program Adminstrator and has the following contact phone number (270) 247-4212.

The enumeration date for this NPI number is 6/20/2014 and was last updated on 8/15/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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