=====================================================
General NPI Number Information
=====================================================
NPI Number | 1457501769
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CARRIE DOWNS BA
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/23/2008
-----------------------------------------------------
Last Update Date | 11/02/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 611 FOREST AVE
-----------------------------------------------------
City | MAYSVILLE
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 41056-1411
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 606-564-4016
-----------------------------------------------------
Fax | 606-564-8288
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 224 LIMESTONE ST
-----------------------------------------------------
City | MAYSVILLE
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 41056-1246
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 606-563-0572
-----------------------------------------------------
Fax | 606-989-4222
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101Y00000X
-----------------------------------------------------
Taxonomy Name | Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 171M00000X
-----------------------------------------------------
Taxonomy Name | Case Manager/Care Coordinator
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------