Healthcare Provider Details

I. General information

NPI: 1457775553
Provider Name (Legal Business Name): LINDA MAYS DNP, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/10/2014
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 BRETT CHASE STE D
PADUCAH KY
42003-5766
US

IV. Provider business mailing address

PO BOX 7174
PADUCAH KY
42002-7174
US

V. Phone/Fax

Practice location:
  • Phone: 270-557-7410
  • Fax: 833-471-4038
Mailing address:
  • Phone: 270-557-7410
  • Fax: 833-471-4038

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number3009438
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberARNP3214672
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: