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NPI Code Detail

MEDICARE: DREAMA TUGGLE HEDRICK LPCC, LCADC

MEDICARE: DREAMA TUGGLE HEDRICK LPCC, LCADC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor167922KY
2101YM0800XMental Health Counselor105704KY

General Provider Information

NPI Number : 1467303917
Entity Type Code : Individual
Provider Name (Legal Business Name) : DREAMA TUGGLE HEDRICK LPCC, LCADC
Provider Business Mailing Address
First Line : 312 S 4TH ST STE 700
Second Line :
City : LOUISVILLE
State : KY
Zip : 40202-3046
Country : US
Telephone Number : 646-941-7645
Fax Number : 929-596-7897
Provider Business Practice Location Address
First Line : 312 S 4TH ST STE 700
Second Line :
City : LOUISVILLE
State : KY
Zip : 40202-3046
Country : US
Telephone Number : 646-941-7645
Fax Number : 929-596-7897
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2026
Last Update Date : 02/09/2026

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