Healthcare Provider Details

I. General information

NPI: 1568769321
Provider Name (Legal Business Name): BETHANY NICOLE HUSK LCADC, LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/14/2011
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 PHILLIPS CT
OWENSBORO KY
42303-3772
US

IV. Provider business mailing address

2668 WISTERIA GDNS
OWENSBORO KY
42303-1665
US

V. Phone/Fax

Practice location:
  • Phone: 270-683-6481
  • Fax:
Mailing address:
  • Phone: 270-951-0378
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number295025
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number289074
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: