| Crystal Dukes, | |
|
200 Clinic Dr, Madisonville, KY 42431-1661 | |
| (270) 821-8874 | |
| (606) 886-4433 |
| Full Name | Crystal Dukes |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 200 Clinic Dr, Madisonville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831745017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 294885 (Kentucky) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| Entity Name | Lifeskills, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669401816 PECOS PAC ID: 8820902638 Enrollment ID: O20031117000330 |
| Entity Name | Kentucky Counseling Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932590338 PECOS PAC ID: 7618221300 Enrollment ID: O20181115002000 |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Dukes, Po Box 614, Hopkinsville, KY 42241-0614 Ph: (270) 886-2205 | Crystal Dukes, 200 Clinic Dr, Madisonville, KY 42431-1661 Ph: (270) 821-8874 |
Doris G Murray, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9 E Arch St, Madisonville, KY 42431 Phone: 833-510-4357 | |
Ms. Stephanie Faith Brewster, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 1079 Thornberry Dr, Suite D, Madisonville, KY 42431 Phone: 270-874-2560 | |
Creasha King, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1079 Thornberry Dr Ste B, Madisonville, KY 42431 Phone: 270-825-1698 | |
Rachel Elizabeth Vaughan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Clinic Dr, Madisonville, KY 42431 Phone: 270-821-8874 | |
Mr. Dane Justin Tosh, LPCA Counselor Medicare: Medicare Enrolled Practice Location: 1079 Thornberry Dr Ste 203, Madisonville, KY 42431 Phone: 270-874-2560 Fax: 270-825-8081 | |
Candida Phelps, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Clinic Dr, Madisonville, KY 42431 Phone: 270-821-8874 Fax: 270-821-8883 | |
Ms. Shellie Gary-cheirs, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 108 South Main Street, Suite 104, Madisonville, KY 42431 Phone: 270-681-2273 |