| Christina Edwards, | |
|
2141 Spencer Ct, La Grange, KY 40031-6742 | |
| (502) 589-8600 | |
| (502) 589-8771 |
| Full Name | Christina Edwards |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 2141 Spencer Ct, La Grange, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033309364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 16325 (Kentucky) | Primary |
| Entity Name | Renew Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437699428 PECOS PAC ID: 9830621986 Enrollment ID: O20241015001819 |
| Mailing Address | Practice Location Address |
|---|---|
| Christina Edwards, 101 W Muhammad Ali Blvd, Louisville, KY 40202-1423 Ph: () - | Christina Edwards, 2141 Spencer Ct, La Grange, KY 40031-6742 Ph: (502) 589-8600 |
Chelsea Northrip, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2141 Spencer Ct, La Grange, KY 40031 Phone: 502-589-8600 Fax: 502-589-8771 | |
Felicia Meyers, PHD Counselor Medicare: Medicare Enrolled Practice Location: 2111 Spencer Ct, La Grange, KY 40031 Phone: 502-262-2887 | |
Margaret Ruth Favata, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 206 W Jefferson St, La Grange, KY 40031 Phone: 716-785-2730 | |
Mrs. Sherri Diane Bentley, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 105 E Washington St, La Grange, KY 40031 Phone: 502-648-6988 Fax: 502-331-6062 | |
Linda Mudd, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2141 Spencer Ct, La Grange, KY 40031 Phone: 502-589-8600 Fax: 502-589-8771 | |
Rhonda Fessel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2141 Spencer Ct, La Grange, KY 40031 Phone: 502-222-7210 |