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Supportive Roads Mentoring Program Incorporated

NPI 1114691409ActiveOrganization· Voluntary or Charitable· Bowling Green, KY

Voluntary or Charitable in Bowling Green, Kentucky, registered in NPPES in August 2021. The authorized official on file is Cynthia Mackey, LPCC, Ceo.

Overview

NPI1114691409
StatusActive
Entity typeOrganization
NPI issuedAug 2, 2021
Last updated in NPPESSep 11, 2025
Certified by providerAug 2, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Voluntary or Charitable Primary251V00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Voluntary or Charitable providers in Bowling Green

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