GREEN MEADOWS WELLNESS CENTER ONE LLC NPI 1902377864

NPI Information

  • NPI: 1902377864
  • Provider Name: GREEN MEADOWS WELLNESS CENTER ONE, LLC
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Address: 8554 KY 1232
    CORBIN, KY
    ZIP 40701
  • Phone: (606) 261-7622

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NPI Details

GREEN MEADOWS WELLNESS CENTER ONE, LLC is a clinical psychologist in Corbin, KY. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. GREEN MEADOWS WELLNESS CENTER ONE, LLC NPI is 1902377864. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8554 KY 1232
CORBIN, KY
ZIP 40701-417
Phone: (606) 261-7622
Fax: (606) 261-7312

The provider's authorized official is Billy Fitch .
The authorized official title is Business Manager and has the following contact phone number (606) 309-1291.

The enumeration date for this NPI number is 12/17/2018 and was last updated on 9/8/2022.

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
1103TS0200XPsychologistSchoolNo
21041C0700XSocial WorkerClinicalNo
3101Y00000XCounselorNo
4103TA0400XPsychologistAddiction (Substance Use Disorder)No
5103TB0200XPsychologistCognitive & BehavioralNo
6103TC1900XPsychologistCounselingNo
7103TC2200XPsychologistClinical Child & AdolescentNo
8103TF0000XPsychologistFamilyNo
9103TH0004XPsychologistHealthNo
10103TH0100XPsychologistHealth ServiceNo
11103TP0814XPsychologistPsychoanalysisNo
12103TP2701XPsychologistGroup PsychotherapyNo
13103TC0700XPsychologistClinicalYes

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
17100406190MEDICAIDKENTUCKY
27100606760MEDICAIDKENTUCKY
31720730021MEDICAIDKENTUCKY
47100360730MEDICAIDKENTUCKY

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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