Healthcare Provider Details

I. General information

NPI: 1508497165
Provider Name (Legal Business Name): STACY KUHN LPCC, LCADC, CRC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/31/2020
Last Update Date: 05/21/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 E SOUTH ST
MUNFORDVILLE KY
42765-9023
US

IV. Provider business mailing address

1123 LATON TURNER RD
UPTON KY
42784-9507
US

V. Phone/Fax

Practice location:
  • Phone: 270-272-6127
  • Fax:
Mailing address:
  • Phone: 270-272-6127
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number165240
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number564045
License Number StateKY
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number274983
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: