Search › Kentucky › 101YA0400X
Theresa Waddell, MA, MS, CADC, MFTA
NPI 1669843710 · on the registry since 2015 · sole proprietor
Practice
- Address
- 400 Ring Rd Ste 155
Elizabethtown, KY 42701 - Phone
- (844) 473-6378
- Organisation at this address
- Renest (I) Rise
Renest Recovery Support ServicesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 16
Additional practice sites
- 910 2nd Ave, Rockford, IL
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 106H00000X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-06-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky