Healthcare Provider Details
I. General information
NPI: 1457501769
Provider Name (Legal Business Name): CARRIE DOWNS BA
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/23/2008
Last Update Date: 11/02/2025
Certification Date: 11/02/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
611 FOREST AVE
MAYSVILLE KY
41056-1411
US
IV. Provider business mailing address
224 LIMESTONE ST
MAYSVILLE KY
41056-1246
US
V. Phone/Fax
- Phone: 606-564-4016
- Fax: 606-564-8288
- Phone: 606-563-0572
- Fax: 606-989-4222
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101Y00000X |
| Taxonomy | Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171M00000X |
| Taxonomy | Case Manager/Care Coordinator |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: