Healthcare Provider Details

I. General information

NPI: 1831023498
Provider Name (Legal Business Name): SOBRIETY OUTREACH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

635 COMANCHE TRL STE C
FRANKFORT KY
40601-1753
US

IV. Provider business mailing address

635 COMANCHE TRL STE C
FRANKFORT KY
40601-1753
US

V. Phone/Fax

Practice location:
  • Phone: 502-352-1844
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER A WILLIAMS
Title or Position: OENER
Credential:
Phone: 502-352-1844