Provider Demographics
NPI:1366257867
Name:RULE, MATTHEW (LCADC)
Entity type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:
Last Name:RULE
Suffix:
Gender:M
Credentials:LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1250 OLD SOLDIER CREEK RD
Mailing Address - Street 2:
Mailing Address - City:KIRKSEY
Mailing Address - State:KY
Mailing Address - Zip Code:42054-9117
Mailing Address - Country:US
Mailing Address - Phone:270-489-2594
Mailing Address - Fax:270-489-2574
Practice Address - Street 1:1250 OLD SOLDIER CREEK RD
Practice Address - Street 2:
Practice Address - City:KIRKSEY
Practice Address - State:KY
Practice Address - Zip Code:42054-9117
Practice Address - Country:US
Practice Address - Phone:270-489-2594
Practice Address - Fax:270-489-2574
Is Sole Proprietor?:No
Enumeration Date:2025-02-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY295405101YM0800X, 101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health