Healthcare Provider Details

I. General information

NPI: 1215855580
Provider Name (Legal Business Name): DEVERS COUNSELING AND CONSULTATION, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 N MULBERRY ST
ELIZABETHTOWN KY
42701-1441
US

IV. Provider business mailing address

151 LINCOLN DR
ELIZABETHTOWN KY
42701-7722
US

V. Phone/Fax

Practice location:
  • Phone: 270-401-7087
  • Fax: 270-714-5274
Mailing address:
  • Phone: 270-401-7087
  • Fax: 270-714-5274

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: RONALD ERIC DEVERS
Title or Position: OWNER, MENTAL HEALTH THERAPIST
Credential: LPCC
Phone: 270-714-5274