Healthcare Provider Details

I. General information

NPI: 1750749248
Provider Name (Legal Business Name): MCCOY COUNSELING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2016
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

855 LOVERS LN SUITE 107
BOWLING GREEN KY
42103-7948
US

IV. Provider business mailing address

855 LOVERS LN STE 107
BOWLING GREEN KY
42103-7989
US

V. Phone/Fax

Practice location:
  • Phone: 270-599-4004
  • Fax:
Mailing address:
  • Phone: 270-599-4004
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JULIE MCCOY
Title or Position: OWNER
Credential:
Phone: 270-599-4004