Provider Demographics
NPI:1134773492
Name:CECIL, WILLIAM BARRY
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:BARRY
Last Name:CECIL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2225 LAWRENCEBURG RD BLDG C
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:KY
Mailing Address - Zip Code:40601-9128
Mailing Address - Country:US
Mailing Address - Phone:502-352-2111
Mailing Address - Fax:502-352-2113
Practice Address - Street 1:2225 LAWRENCEBURG RD BLDG C
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601-9128
Practice Address - Country:US
Practice Address - Phone:502-352-2111
Practice Address - Fax:502-352-2113
Is Sole Proprietor?:No
Enumeration Date:2019-07-25
Last Update Date:2019-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY104580OtherLICENSED PROFESSIONAL CLINICAL COUNSELOR