Healthcare Provider Details
I. General information
NPI: 1720918949
Provider Name (Legal Business Name): WOMEN AWARE INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
435 BERGER RD
PADUCAH KY
42003-4501
US
IV. Provider business mailing address
435 BERGER RD
PADUCAH KY
42003-4501
US
V. Phone/Fax
- Phone: 270-448-8056
- Fax:
- Phone: 270-443-6001
- Fax: 270-443-9146
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
MARY
E.
FOLEY
Title or Position: EXECUTIVE DIRECTOR
Credential: PSYD
Phone: 270-448-8056