1. Home
  2. Directory
  3. Kentucky
  4. Mayfield
  5. Clinic Center
  6. NPI Profile

FOUR RIVERS BEHAVIORAL HEALTH
NPI 1164964201
Clinic/Center - Mental Health (Including Community Mental Health Center) in Mayfield, KY

Active since November 07, 2016
1525 CUBA RD, MAYFIELD, KY 42066(270) 247-2588(270) 247-0142 Get Directions Write a Review

NPPES record last updated: April 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 6, 2023, Aug 31, 2020, Nov 7, 2016 (3 updates tracked since 2016).

About Four Rivers Behavioral Health NPPES

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

FOUR RIVERS BEHAVIORAL HEALTH (NPI 1164964201) is a healthcare organization registered as a mental health (including community mental health center) in Mayfield, Kentucky and active in the NPI registry since November 2016. The organization lists Terry Hudspeth, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1164964201
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameDR. WILLIAM H. FULLER MEMORIAL SUBSTANCE ABUSE TREATMENT CENTER
Location Address1525 CUBA RDMayfield, KY 42066-6809
Mailing Address1525 Cuba RdMayfield, KY 42066-6809 · Fax (270) 247-0142
Phone(270) 247-2588
Fax(270) 247-0142
Organization SubpartYesParent: Western Ky Regional Mhmr Board Inc
Authorized OfficialTerry HudspethPresident/ceo · (270) 441-2171
Enumeration DateNovember 7, 2016
Last NPPES UpdateApril 6, 20233 updates tracked since enumeration
NPPES CertifiedApril 6, 2023
✔ NPI 1164964201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License✔ Licensed in KY · 810023
1525 CUBA RD, Mayfield, KY 42066
Open in Google Maps ↗

Other Names 1

Doing Business AsFour Rivers Behavioral Health

Other Identifiers 1

Medicaid27001015KY

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEIGH ANN WILLIAMS CSW
Social Worker
1525 CUBA RD
MAYFIELD, KY 42066
Graves County (270) 247-2588
MRS. CHRISTINA MARIA MARTIN
Behavior Technician
1525 CUBA RD
MAYFIELD, KY 42066
Graves County (270) 247-2588
TAYLOR J HORNBACK
Counselor (Mental Health)
1525 CUBA RD
MAYFIELD, KY 42066
Graves County (270) 247-2588
CHRISTOPHER RYAN LAFEVER MS LPCA
Counselor (Professional)
1525 CUBA RD
MAYFIELD, KY 42066
Graves County (270) 247-2588
MR. JORDAN ISAAC MITCHELL
Counselor
1525 CUBA RD
MAYFIELD, KY 42066
Graves County (270) 247-2588
MRS. TERRI LYNN HOLLAND RN
Registered Nurse (Psychiatric/Mental Health, Adult)
1525 CUBA RD
MAYFIELD, KY 42066
Graves County (270) 247-2588
DEBRA DEAN
Counselor (Mental Health)
1525 CUBA RD
MAYFIELD, KY 42066
Graves County (270) 247-2588
STORM COREY
Social Worker
1525 CUBA RD
MAYFIELD, KY 42066
Graves County (270) 247-2588

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 Dr. William H. Fuller Memorial Substance Abuse Treatment Center's NPI number?

The NPI number for Dr. William H. Fuller Memorial Substance Abuse Treatment Center is 1164964201. It was assigned to this organization in the NPPES registry on November 7, 2016. The provider is doing business as Four Rivers Behavioral Health.

Where is Dr. William H. Fuller Memorial Substance Abuse Treatment Center located?

Dr. William H. Fuller Memorial Substance Abuse Treatment Center is located at 1525 Cuba Rd, Mayfield, KY 42066. The listed phone number is (270) 247-2588.

What is Dr. William H. Fuller Memorial Substance Abuse Treatment Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Dr. William H. Fuller Memorial Substance Abuse Treatment Center was last updated on April 6, 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.