Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Rebellious Recovery LLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1710890470

Rebellious Recovery LLC provides Addiction (Substance Use Disorder) Counselor services in Paducah, Kentucky. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3011 Jefferson St Apt D
Paducah, KY 42001-4373
Phone: (270) 392-2375
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1710890470
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stacy Kirkham — Owner · (270) 392-2375
NPI enumeratedSeptember 24, 2026
Last updated in NPPESSeptember 24, 2026
Certification dateSeptember 24, 2026
Mailing address3011 Jefferson St Apt D, Paducah, KY 42001-4373

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