Chelsea Green, MED, LPCC | |
104 S Front Ave, Prestonsburg, KY 41653-1614 | |
(606) 886-8572 | |
Not Available |
Full Name | Chelsea Green |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 104 S Front Ave, Prestonsburg, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528516325 | NPI | - | NPPES |
1528516325 | Medicaid | VA | |
7100789670 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 274343 (Kentucky) | Primary |
Entity Name | Kentucky River Community Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528017142 PECOS PAC ID: 3870481229 Enrollment ID: O20040308000506 |
Mailing Address | Practice Location Address |
---|---|
Chelsea Green, MED, LPCC 104 S Front Ave, Prestonsburg, KY 41653-1614 Ph: (606) 886-8572 | Chelsea Green, MED, LPCC 104 S Front Ave, Prestonsburg, KY 41653-1614 Ph: (606) 886-8572 |
Phillip Caudill, Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 S Front Ave, Prestonsburg, KY 41653 Phone: 606-886-8572 Fax: 606-886-4433 | |
Rachael Willoughby, Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 S Front Ave, Prestonsburg, KY 41653 Phone: 606-886-8572 Fax: 606-886-4433 | |
Brittany Sanders, Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 S Front Ave, Prestonsburg, KY 41653 Phone: 606-886-8572 Fax: 606-886-4433 | |
Donna Crider, Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 S Front Ave, Prestonsburg, KY 41653 Phone: 606-886-8572 Fax: 606-886-4433 | |
Chelsea Goble, Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 S Front Ave, Prestonsburg, KY 41653 Phone: 606-886-8572 Fax: 606-886-4433 | |
Sydney Smoot, Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 S Front Ave, Prestonsburg, KY 41653 Phone: 606-886-8572 Fax: 606-886-4433 | |
Treasure Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 S Front Ave, Prestonsburg, KY 41653 Phone: 606-886-8572 Fax: 606-886-4433 |