Provider Demographics
NPI:1801249180
Name:KOPROWSKI, GREGORY (LPCA)
Entity type:Individual
Prefix:
First Name:GREGORY
Middle Name:
Last Name:KOPROWSKI
Suffix:
Gender:M
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3439 BUCKHORN DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40515-1716
Mailing Address - Country:US
Mailing Address - Phone:859-368-8820
Mailing Address - Fax:859-368-8822
Practice Address - Street 1:3439 BUCKHORN DR
Practice Address - Street 2:SUITE 100
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40515-1716
Practice Address - Country:US
Practice Address - Phone:859-368-8820
Practice Address - Fax:859-368-8822
Is Sole Proprietor?:No
Enumeration Date:2016-07-21
Last Update Date:2016-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY164576101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional