Healthcare Provider Details

I. General information

NPI: 1144136029
Provider Name (Legal Business Name): APPALACHIAN COMMUNITY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1152 S MAYO TRL
PIKEVILLE KY
41501-1556
US

IV. Provider business mailing address

1152 S MAYO TRL
PIKEVILLE KY
41501-1556
US

V. Phone/Fax

Practice location:
  • Phone: 606-432-5660
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: LOVONNE FLEMING-RICHARDSON
Title or Position: OWNER
Credential:
Phone: 606-253-3045