Bryan Purcell, LPCC | |
4414 Old La Grange Rd, Buckner, KY 40010-9547 | |
(502) 222-2389 | |
(502) 222-2927 |
Full Name | Bryan Purcell |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 4414 Old La Grange Rd, Buckner, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740428275 | NPI | - | NPPES |
30608012 | Medicaid | KY |
Entity Name | Prodigal Ministries Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013662717 PECOS PAC ID: 2860840493 Enrollment ID: O20231121000960 |
Mailing Address | Practice Location Address |
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Bryan Purcell, LPCC Po Box 1484, Crestwood, KY 40014-1484 Ph: (502) 222-2389 | Bryan Purcell, LPCC 4414 Old La Grange Rd, Buckner, KY 40010-9547 Ph: (502) 222-2389 |
Ashley Stump, CADCA1 Counselor Medicare: Not Enrolled in Medicare Practice Location: 4414 Old Lagrange Rd, Buckner, KY 40010 Phone: 502-222-2389 | |
Rodney Frederick, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4414 Old Lagrange Rd, Buckner, KY 40010 Phone: 502-222-2389 | |
Brittanni Mcmanaway, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4414 Old Lagrange Rd, Buckner, KY 40010 Phone: 502-222-2389 | |
Michael Henney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4414 Old Lagrange Rd, Buckner, KY 40010 Phone: 502-222-2389 Fax: 502-222-2927 | |
Scottye Sparks, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 4414 Old Lagrange Rd, Buckner, KY 40010 Phone: 502-222-2389 Fax: 502-222-2927 | |
Deenie Pelfrey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4414 Old Lagrange Rd, Buckner, KY 40010 Phone: 502-222-2389 |