Provider Demographics
NPI:1508985912
Name:NORTHERN KENTUCKY CHILDRENS ADVOCACY CENTER
Entity Type:Organization
Organization Name:NORTHERN KENTUCKY CHILDRENS ADVOCACY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:VICKIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:HENDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:859-442-3200
Mailing Address - Street 1:4890 HOUSTON RD
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41042-1363
Mailing Address - Country:US
Mailing Address - Phone:859-442-3200
Mailing Address - Fax:859-442-3201
Practice Address - Street 1:4890 HOUSTON ROAD
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-1363
Practice Address - Country:US
Practice Address - Phone:859-442-3200
Practice Address - Fax:859-442-3201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
No251K00000XAgenciesPublic Health or Welfare