IndividualActive
Bethany Cockrum
NPI 1053474841 · Mental Health Clinic/Center (Including Community Mental Health Center) · Paducah, KY
Provider details
- NPI number
- 1053474841
- Entity type
- Individual
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Sex
- Female
- Sole proprietor
- Yes
Mailing address
425 Broadway
Paducah, KY 42001
Registry dates
- Enumerated
- 2006-12-19
- Last updated
- 2009-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.