| Kristy Lynn Moore, LCSW | |
|
32 Dallas Stephens Rd, Sandy Hook, KY 41171-8275 | |
| (606) 738-4579 | |
| (606) 738-4579 |
| Full Name | Kristy Lynn Moore |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 32 Dallas Stephens Rd, Sandy Hook, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275903528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 5021 (Kentucky) | Primary |
| Entity Name | Pathways Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982615043 PECOS PAC ID: 1254239171 Enrollment ID: O20031230000043 |
| Entity Name | Healing Hearts And Minds |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871135392 PECOS PAC ID: 2668805565 Enrollment ID: O20191206002155 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristy Lynn Moore, LCSW 32 Dallas Stephens Rd, Sandy Hook, KY 41171-8275 Ph: (606) 738-4579 | Kristy Lynn Moore, LCSW 32 Dallas Stephens Rd, Sandy Hook, KY 41171-8275 Ph: (606) 738-4579 |
Ms. Scarlet F Smith, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 38 J F Green St, Sandy Hook, KY 41171 Phone: 606-738-5545 Fax: 606-738-5405 | |
Morganne Danielle Harper, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 308 N Ky 7, Sandy Hook, KY 41171 Phone: 606-738-9785 Fax: 859-317-2148 |