Charles Nicholas Brown, LPCC | |
6105 1st Financial Dr, Burlington, KY 41005-7892 | |
(859) 301-5901 | |
(859) 301-5940 |
Full Name | Charles Nicholas Brown |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 6105 1st Financial Dr, Burlington, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013350867 | NPI | - | NPPES |
611300608 | Other | KY | TAX IDENTIFICATION NUMBER |
0155170 | Medicaid | OH | |
610661458 | Other | KY | TAX ID |
7100333760 | Medicaid | KY |
Entity Name | Summit Medical Group, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881026169 PECOS PAC ID: 2163326240 Enrollment ID: O20031120000738 |
Mailing Address | Practice Location Address |
---|---|
Charles Nicholas Brown, LPCC Po Box 635283, Cincinnati, OH 45263-5283 Ph: (859) 344-5555 | Charles Nicholas Brown, LPCC 6105 1st Financial Dr, Burlington, KY 41005-7892 Ph: (859) 301-5901 |
Greg Tanner, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6080 Camp Ernst Rd, Burlington, KY 41005 Phone: 513-309-8144 | |
David Russell Payne, PCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3920 Akin Ln, Burlington, KY 41005 Phone: 502-324-7586 Fax: 859-692-1289 | |
Elizabeth Gough, CADACII Counselor Medicare: Not Enrolled in Medicare Practice Location: 2566 Sunday Silence Ct, Burlington, KY 41005 Phone: 513-275-8678 | |
Kerry Mcgill Evans, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3401 Petersburg Rd, Burlington, KY 41005 Phone: 859-647-0226 Fax: 859-594-4519 | |
Mr. Rodney Alan Valandra, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6080 Camp Ernst Rd, Burlington, KY 41005 Phone: 859-982-9296 Fax: 859-980-0266 | |
Dana Rochelle Hays, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6272 Woodcrest Dr, Burlington, KY 41005 Phone: 859-992-1536 |