IndividualActive
Andrea Beavers
NPI 1093069882 · Mental Health Clinic/Center (Including Community Mental Health Center) · Paducah, KY
Provider details
- NPI number
- 1093069882
- Entity type
- Individual
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
425 Broadway St
Paducah, KY 42001-0713
Phone: (270) 442-1452
Approximate (ZIP-level) locationGet directions
Mailing address
425 Broadway St
Paducah, KY 42001-0713
Registry dates
- Enumerated
- 2012-11-01
- Last updated
- 2012-11-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.