BRENNAN VALLENCOURT NPI 1801298559

NPI Information

  • NPI: 1801298559
  • Provider Name: BRENNAN VALLENCOURT
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 325 PROFESSIONAL AVE
    WINCHESTER, KY
    ZIP 40391
  • Phone: (859) 744-2562

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NPI Details

Brennan Vallencourt is an addiction (substance use disorder) counselor in Winchester, KY. Brennan Vallencourt NPI is 1801298559. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

325 PROFESSIONAL AVE
WINCHESTER, KY
ZIP 40391-179
Phone: (859) 744-2562

The enumeration date for this NPI number is 9/24/2014 and was last updated on 10/6/2014.

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)KY1695KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11790731081MEDICAIDKENTUCKY

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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