Healthcare Provider Details

I. General information

NPI: 1053533638
Provider Name (Legal Business Name): COMMUNITY PRESENCE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1758 EAST MIDLAND TRAIL
GRAYSON KY
41143
US

IV. Provider business mailing address

PO BOX 1185
GRAYSON KY
41143-5185
US

V. Phone/Fax

Practice location:
  • Phone: 606-475-9122
  • Fax: 606-474-6225
Mailing address:
  • Phone: 606-475-9122
  • Fax: 606-474-6225

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: ANGEE N. SEXTON
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 606-475-9122