Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Origin Trauma and Addiction Treatment PLLC

Organization Psychiatry Physician · NPI 1407697972

Origin Trauma and Addiction Treatment PLLC provides Psychiatry Physician services in Bowling Green, Kentucky. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

958 Collett Ave Ste 322
Bowling Green, KY 42101-2309
Phone: (615) 745-9058
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1407697972
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christian Schrader — Owner · (214) 679-7017
Other names Origin Trauma And Addiction Treatment; Origin Trauma And Addiction Treatment
NPI enumeratedJune 6, 2024
Last updated in NPPESJanuary 3, 2025
Certification dateJanuary 3, 2025
Mailing address2413 Nashville Rd Ste 310, Bowling Green, KY 42101-4101

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