| Ashtyn Taylor Kinney, LPC | |
|
1033 Edgefield St, Greenwood, SC 29646-3205 | |
| (864) 227-3908 | |
| (864) 725-1839 |
| Full Name | Ashtyn Taylor Kinney |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1033 Edgefield St, Greenwood, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396432423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 10917 (South Carolina) | Primary |
| Entity Name | Self Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982836847 PECOS PAC ID: 6002953916 Enrollment ID: O20091027000071 |
| Mailing Address | Practice Location Address |
|---|---|
| Ashtyn Taylor Kinney, LPC 1033 Edgefield St, Greenwood, SC 29646-3205 Ph: (864) 227-3908 | Ashtyn Taylor Kinney, LPC 1033 Edgefield St, Greenwood, SC 29646-3205 Ph: (864) 227-3908 |
Faith Walker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1547 Parkway, Suite 100, Greenwood, SC 29646 Phone: 864-229-7120 Fax: 864-229-5526 | |
Stephanie Landers Forrest, M.ED, CAC II, MAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1612 Rivers St, Greenwood, SC 29649 Phone: 864-227-1001 | |
Monika Mcglohon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1547 Parkway, Greenwood, SC 29646 Phone: 864-229-7120 | |
Cheryl Denise White, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1547 Parkway, Suite 300, Greenwood, SC 29646 Phone: 864-943-9592 Fax: 864-943-9594 | |
Mrs. Carol C. Booker, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1547 Parkway, Suite 100, Greenwood, SC 29646 Phone: 864-229-7120 Fax: 864-223-3706 | |
Hallie Snyder, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1547 Parkway, Greenwood, SC 29646 Phone: 864-229-7120 | |
Melanie Dawn Googe, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 106 By Pass 225 S, Greenwood, SC 29646 Phone: 864-223-5111 Fax: 864-223-9245 |