| Amanda Wilder, LCMHC | |
|
115 Rockwood Ln, Hazard, KY 41701-9415 | |
| (800) 575-7223 | |
| (606) 436-5797 |
| Full Name | Amanda Wilder |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 115 Rockwood Ln, Hazard, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316429129 | NPI | - | NPPES |
| Entity Name | Kentucky River Community Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528017142 PECOS PAC ID: 3870481229 Enrollment ID: O20040308000506 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Wilder, LCMHC 115 Rockwood Ln, Hazard, KY 41701-9415 Ph: (800) 575-7223 | Amanda Wilder, LCMHC 115 Rockwood Ln, Hazard, KY 41701-9415 Ph: (800) 575-7223 |
Pamela Sorrell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 Rockwood Ln, Hazard, KY 41701 Phone: 606-436-5761 Fax: 606-436-5797 | |
Melanie Johnson, M.ED, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Bulldog Ln # 6081, Hazard, KY 41701 Phone: 859-254-1035 | |
Ms. Deborah Eversole, Counselor Medicare: Not Enrolled in Medicare Practice Location: 194 Boh Ln, Hazard, KY 41701 Phone: 606-551-1140 Fax: 606-435-7558 | |
Katelyn Fugate, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 Rockwood Ln, Hazard, KY 41701 Phone: 606-436-5761 Fax: 606-436-5797 | |
Micah Watson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 Rockwood Ln, Hazard, KY 41701 Phone: 606-436-5761 Fax: 606-435-0817 | |
Sheena Nicole Falter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Bulldog Ln, Hazard, KY 41701 Phone: 606-694-7171 | |
Ruth Darland, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 Rockwood Ln, Hazard, KY 41701 Phone: 606-436-5761 Fax: 606-436-5797 |