=====================================================
General NPI Number Information
=====================================================
NPI Number | 1558229542
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GUIDED PATHWAYS OF KENTUCKY
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/10/2026
-----------------------------------------------------
Last Update Date | 01/10/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 170 TWINBROOK LN UNIT 2
-----------------------------------------------------
City | CORBIN
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 40701-2802
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 606-304-1401
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 170 TWINBROOK LN UNIT 2
-----------------------------------------------------
City | CORBIN
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 40701-2802
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | TARGETED CASE MANAGER
-----------------------------------------------------
Name | BRENDA BRISON
-----------------------------------------------------
Credential | TCM
-----------------------------------------------------
Telephone | 606-515-2855
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251B00000X
-----------------------------------------------------
Taxonomy Name | Case Management Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------