Healthcare Provider Details

I. General information

NPI: 1265358345
Provider Name (Legal Business Name): CENTER FOR ADDICTION RECOVERY OF HENDERSON INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

56 N MCKINLEY ST
HENDERSON KY
42420-3353
US

IV. Provider business mailing address

56 N MCKINLEY ST
HENDERSON KY
42420-3353
US

V. Phone/Fax

Practice location:
  • Phone: 270-826-0036
  • Fax: 270-826-2696
Mailing address:
  • Phone: 270-826-0036
  • Fax: 270-826-2696

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: NICOLE FRIELDS
Title or Position: CHIEF OPERATING OFFICER
Credential: CADC
Phone: 270-826-0036