DENNIS BROOKS PARK TCADC
NPI 1255816310
Counselor - Addiction (Substance Use Disorder) in Paducah, KY

Active since September 25, 2018
2705 OLIVET CHURCH RD, PADUCAH, KY 42001(270) 443-0096(270) 443-0080 Get Directions Write a Review

NPPES record last updated: September 25, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dennis Brooks Park Tcadc NPPES

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

DENNIS BROOKS PARK TCADC (NPI 1255816310) is an individual addiction (substance use disorder) provider in Paducah, Kentucky, licensed in Kentucky (172662) and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1255816310
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameDENNIS BROOKS PARKCredential: TCADC
Location Address2705 OLIVET CHURCH RDPaducah, KY 42001-9755
Mailing Address2705 Olivet Church RdPaducah, KY 42001-9755 · (270) 443-0096 · Fax (270) 443-0080
Fax(270) 443-0080
Sole ProprietorNo
Enumeration DateSeptember 25, 2018
NPI 1255816310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in KY · 172662
2705 OLIVET CHURCH RD, Paducah, KY 42001

Other Providers at the Same Location NPPES 4

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

Counselor (Addiction (Substance Use Disorder))
2705 OLIVET CHURCH RD
PADUCAH, KY 42001
Counselor (Addiction (Substance Use Disorder))
2705 OLIVET CHURCH RD
PADUCAH, KY 42001
Psychiatry & Neurology (Addiction Medicine)
2705 OLIVET CHURCH RD
PADUCAH, KY 42001
Clinic/Center (Rehabilitation, Substance Use Disorder)
2705 OLIVET CHURCH RD
PADUCAH, KY 42001

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 Dennis Park's NPI number?

The NPI number for Dennis Park is 1255816310. It was assigned to this individual provider in the NPPES registry on September 25, 2018.

Where is Dennis Park located?

Dennis Park practices at 2705 Olivet Church Rd, Paducah, KY 42001. The listed phone number is (270) 443-0096.

What is Dennis Park's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Dennis Park was last updated on September 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.