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General NPI Number Information
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NPI Number | 1174314611
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Entity Type | Organization
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Legal Business Name | WINKLEPLECK THERAPY SERVICES LLC
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Dates
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Enumeration Date | 05/14/2025
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Last Update Date | 05/24/2025
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Provider Practice Location Address
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Address Line | 2816 VEACH RD STE 208
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City | OWENSBORO
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State | KY
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Zip | 42303-6299
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Country | US
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Telephone | 270-228-0340
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Fax | 270-228-0341
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Provider Business Mailing Address
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Address Line | P.O. BOX 22 6028 STATE ROUTE 54
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City | PHILPOT
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State | KY
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Zip | 42366
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Country | US
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Telephone | 270-316-0740
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Fax | 270-316-0740
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | TYLER SCOTT WINKLEPLECK
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Credential | LCSW
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Telephone | 270-316-0740
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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