Provider Demographics
NPI:1174314611
Name:WINKLEPLECK THERAPY SERVICES LLC
Entity type:Organization
Organization Name:WINKLEPLECK THERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:TYLER
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:WINKLEPLECK
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:270-316-0740
Mailing Address - Street 1:P.O. BOX 22 6028 STATE ROUTE 54
Mailing Address - Street 2:
Mailing Address - City:PHILPOT
Mailing Address - State:KY
Mailing Address - Zip Code:42366
Mailing Address - Country:US
Mailing Address - Phone:270-316-0740
Mailing Address - Fax:270-316-0740
Practice Address - Street 1:2816 VEACH RD STE 208
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42303-6299
Practice Address - Country:US
Practice Address - Phone:270-228-0340
Practice Address - Fax:270-228-0341
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-14
Last Update Date:2025-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty