| Callie Elizabeth Quillen, BS MHA | |
|
915 N Laurel Rd, London, KY 40741-9029 | |
| (606) 864-2104 | |
| Not Available |
| Full Name | Callie Elizabeth Quillen |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 5 Years |
| Location | 915 N Laurel Rd, London, Kentucky |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124501101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 296112 (Kentucky) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Grace Community Health Center, Inc. | 3870654064 | 54 |
| Entity Name | Grace Community Health Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568625648 PECOS PAC ID: 3870654064 Enrollment ID: O20081211000571 |
| Mailing Address | Practice Location Address |
|---|---|
| Callie Elizabeth Quillen, BS MHA 1865 Bacon Ave, Corbin, KY 40701-2356 Ph: (606) 304-8921 | Callie Elizabeth Quillen, BS MHA 915 N Laurel Rd, London, KY 40741-9029 Ph: (606) 864-2104 |
Whitney Mcphetridge, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1223 Ky 1234, London, KY 40741 Phone: 606-389-8073 | |
Melissa Ann Partin, LPCC Counselor Medicare: May Accept Medicare Assignments Practice Location: 2645 N Laurel Rd Ste B, London, KY 40741 Phone: 513-834-7063 | |
Miss Samantha Nicole Reid, BS, LPCC Counselor Medicare: Accepting Medicare Assignments Practice Location: 1907 E Pittsburg Church Rd, London, KY 40741 Phone: 606-389-5269 | |
Courtney Nicole Perry-jackson, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1120 Reuben St, London, KY 40741 Phone: 606-862-6550 Fax: 606-862-8021 | |
Kenneth Earl Daniels, Counselor Medicare: Not Enrolled in Medicare Practice Location: 565 Highway 192 W, London, KY 40741 Phone: 606-485-5188 | |
Laceysha Jamison, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 21 Middeleground Way, London, KY 40744 Phone: 606-657-5470 Fax: 606-657-5472 |