MISTY WEASE
NPI 1508607169
Substance Abuse Rehabilitation Facility in Magnolia, KY

Active since June 05, 2024
2396 FRIENDSHIP CHURCH RD, MAGNOLIA, KY 42757(270) 218-2652 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Misty Wease NPPES

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

MISTY WEASE (NPI 1508607169) is an individual substance abuse rehabilitation facility provider in Magnolia, Kentucky and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1508607169
Entity TypeIndividualFemale
Primary Taxonomy324500000X
Provider Legal NameMISTY WEASE
Location Address2396 FRIENDSHIP CHURCH RDMagnolia, KY 42757-7613
Mailing Address2396 Friendship Church RdMagnolia, KY 42757-7613 · (270) 218-2652
Sole ProprietorYes
Enumeration DateJune 5, 2024
NPPES CertifiedJune 5, 2024
NPI 1508607169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
2396 FRIENDSHIP CHURCH RD, Magnolia, KY 42757

Other Providers at the Same Location NPPES

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

Peer Specialist
2396 FRIENDSHIP CHURCH RD
MAGNOLIA, KY 42757

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 Misty Wease's NPI number?

The NPI number for Misty Wease is 1508607169. It was assigned to this individual provider in the NPPES registry on June 5, 2024.

Where is Misty Wease located?

Misty Wease practices at 2396 Friendship Church Rd, Magnolia, KY 42757. The listed phone number is (270) 218-2652.

What is Misty Wease's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Misty Wease was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.