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RAVEN ROCK WELLNESS CENTER LLC
NPI 1114632577
Clinic/Center - Adult Mental Health in Stanton, KY

Active since January 20, 2023
221 HALLS RD, STANTON, KY 40380(606) 775-0515(606) 552-0964 Get Directions Write a Review

NPPES record last updated: January 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Raven Rock Wellness Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAVEN ROCK WELLNESS CENTER LLC (NPI 1114632577) is a healthcare organization registered as an adult mental health in Stanton, Kentucky and active in the NPI registry since January 2023. The organization lists Dana Conn, Member, as its authorized official.

NPPES Registry Identity

NPI1114632577
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameRAVEN ROCK WELLNESS CENTER LLC
Location Address221 HALLS RDStanton, KY 40380-2027
Mailing Address221 Halls RdStanton, KY 40380-2027 · (606) 775-0515 · Fax (606) 552-0964
Phone(606) 775-0515
Fax(606) 552-0964
Organization SubpartNo
Authorized OfficialDana ConnMember · (606) 775-0515
Enumeration DateJanuary 20, 2023
NPPES CertifiedJanuary 20, 2023
✔ NPI 1114632577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
221 HALLS RD, Stanton, KY 40380
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raven Rock Wellness Center LLC's NPI number?

The NPI number for Raven Rock Wellness Center LLC is 1114632577. It was assigned to this organization in the NPPES registry on January 20, 2023.

Where is Raven Rock Wellness Center LLC located?

Raven Rock Wellness Center LLC is located at 221 Halls Rd, Stanton, KY 40380. The listed phone number is (606) 775-0515.

What is Raven Rock Wellness Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Raven Rock Wellness Center LLC was last updated on January 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.