| Brandon Swaggart, LPCC | |
|
1712 State Route 121 Byp N Ste I, Murray, KY 42071-8925 | |
| (270) 761-5804 | |
| (270) 761-5807 |
| Full Name | Brandon Swaggart |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 1712 State Route 121 Byp N Ste I, Murray, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447615489 | NPI | - | NPPES |
| LPCPCC00223169 | Other | KY | PROFESSIONAL LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPCPCC00223169 (Kentucky) | Primary |
| Entity Name | Grow Healthcare Group PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220604000237 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Swaggart, LPCC 1712 State Route 121 Byp N Ste I, Murray, KY 42071-8925 Ph: (270) 761-5804 | Brandon Swaggart, LPCC 1712 State Route 121 Byp N Ste I, Murray, KY 42071-8925 Ph: (270) 761-5804 |
Peace Popoola, Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 N 20th St, Murray, KY 42071 Phone: 325-252-7348 |
Courtney Martens, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1712 Highway 121 Byp N Ste I, Murray, KY 42071 Phone: 270-761-5804 |
Kristina Middleton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1712 Highway 121 Byp N Ste I, Murray, KY 42071 Phone: 270-761-5804 Fax: 270-761-5807 |
Jennifer Crider, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1712 Highway 121 Byp N Ste I, Murray, KY 42071 Phone: 270-761-5804 |
Mrs. Kimberly Michelle Hicks, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1051 N 16th St Ste B, Murray, KY 42071 Phone: 270-753-6622 |
Olivia Cook, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1712 Highway 121 Byp N Ste I, Murray, KY 42071 Phone: 270-761-5804 |
Dawn Hasz, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1051 N 16th St, Murray, KY 42071 Phone: 270-753-6622 |