| Amy Susan Hogue, LPCC | |
|
507 Trojan Trail, Glasgow, KY 42141-2214 | |
| (844) 435-0900 | |
| (270) 858-4029 |
| Full Name | Amy Susan Hogue |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 507 Trojan Trail, Glasgow, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518593607 | NPI | - | NPPES |
| 7100691620 | Medicaid | KY | |
| 14913851 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 261350 (Kentucky) | Primary |
| Entity Name | Cumberland Family Medical Center, Inc.. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306873500 PECOS PAC ID: 6305947789 Enrollment ID: O20120221000433 |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Susan Hogue, LPCC Po Box 1080, Burkesville, KY 42717-1080 Ph: (270) 858-6655 | Amy Susan Hogue, LPCC 507 Trojan Trail, Glasgow, KY 42141-2214 Ph: (844) 435-0900 |
Derrick Wagoner, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 104 Reynolds Rd, Glasgow, KY 42141 Phone: 270-678-4801 Fax: 270-678-3866 | |
Amy Brickler, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 104 Reynolds Rd, Glasgow, KY 42141 Phone: 270-678-4801 Fax: 270-678-3866 | |
Liisa Lucas, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 608 Happy Valley Rd, Glasgow, KY 42141 Phone: 270-901-5000 | |
April Crenshaw, Counselor Medicare: Not Enrolled in Medicare Practice Location: 608 Happy Valley Rd, Glasgow, KY 42141 Phone: 270-901-5000 Fax: 270-842-5268 | |
Rachael Keeling, Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 Reynolds Rd, Glasgow, KY 42141 Phone: 270-904-6567 | |
Ms. Jolene Rene Poteet, LPCA Counselor Medicare: Medicare Enrolled Practice Location: 106 W Front St, Glasgow, KY 42141 Phone: 270-904-5104 | |
Ellen Cox, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 218 Columbia Ave, Glasgow, KY 42141 Phone: 270-651-7070 Fax: 270-651-7071 |