Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

REBELLIOUS RECOVERY LLC
NPI 1710890470
Counselor - Addiction (Substance Use Disorder) in Paducah, KY

Q: What is Rebellious Recovery LLC's NPI number?

The NPI number for Rebellious Recovery LLC is 1710890470. It was assigned to this organization in the NPPES registry on September 24, 2026.

Q: What is Rebellious Recovery LLC's specialty?

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

Active since September 24, 2026

3011 JEFFERSON ST APT D, PADUCAH, KY 42001(270) 392-2375 Get Directions Write a Review

NPPES record added: September 24, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Rebellious Recovery Llc NPPES

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

REBELLIOUS RECOVERY LLC (NPI 1710890470) is a healthcare organization registered as an addiction (substance use disorder) in Paducah, Kentucky and active in the NPI registry since September 2026. The organization lists Stacy Kirkham, Owner, as its authorized official.

NPPES Registry Identity

NPI1710890470

Entity TypeOrganization

Primary Taxonomy101YA0400X

Legal Business NameREBELLIOUS RECOVERY LLC

Location Address3011 JEFFERSON ST APT DPaducah, KY 42001-4373

Mailing Address3011 Jefferson St Apt DPaducah, KY 42001-4373 · (270) 392-2375

Phone(270) 392-2375

Organization SubpartNo

Authorized OfficialStacy KirkhamOwner · (270) 392-2375

Enumeration DateSeptember 24, 2026

NPPES CertifiedSeptember 24, 2026

✔ NPI 1710890470 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

3011 JEFFERSON ST APT D, Paducah, KY 42001

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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 Rebellious Recovery LLC's NPI number?

The NPI number for Rebellious Recovery LLC is 1710890470. It was assigned to this organization in the NPPES registry on September 24, 2026.

Where is Rebellious Recovery LLC located?

Rebellious Recovery LLC is located at 3011 Jefferson St Apt D, Paducah, KY 42001. The listed phone number is (270) 392-2375.

What is Rebellious Recovery LLC'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 Rebellious Recovery LLC was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.