MEDICARE: KATHY OAKLEY-HUITT 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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	172723	KY

General Provider Information

NPI Number	:	1871811638
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHY OAKLEY-HUITT LCADC

Provider Business Mailing Address
First Line	:	3500 VILLA PT STE 110
Second Line	:
City	:	OWENSBORO
State	:	KY
Zip	:	42303-7826
Country	:	US
Telephone Number	:	270-228-2368
Fax Number	:	270-478-4926

Provider Business Practice Location Address
First Line	:	3500 VILLA PT STE 110
Second Line	:
City	:	OWENSBORO
State	:	KY
Zip	:	42303-7826
Country	:	US
Telephone Number	:	270-228-2368
Fax Number	:	270-478-4926

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2010
Last Update Date	:	10/16/2025

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