| David Terry Tipton, MA, LPCC | |
|
2785 N Main St Ste 101b, Hazard, KY 41701-5910 | |
| (606) 224-8451 | |
| Not Available |
| Full Name | David Terry Tipton |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 2785 N Main St Ste 101b, Hazard, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376312397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | KY0319 (Kentucky) | Secondary |
| 101YM0800X | Counselor - Mental Health | 105743 (Kentucky) | Primary |
| Entity Name | Courage To Change Counseling Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912761933 PECOS PAC ID: 0345689659 Enrollment ID: O20240419001303 |
| Mailing Address | Practice Location Address |
|---|---|
| David Terry Tipton, MA, LPCC 311 Walker Ln, London, KY 40744-9036 Ph: (606) 224-8451 | David Terry Tipton, MA, LPCC 2785 N Main St Ste 101b, Hazard, KY 41701-5910 Ph: (606) 224-8451 |
Pamela Sorrell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 Rockwood Ln, Hazard, KY 41701 Phone: 606-436-5761 Fax: 606-436-5797 | |
Melanie Johnson, M.ED, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Bulldog Ln # 6081, Hazard, KY 41701 Phone: 859-254-1035 | |
Ms. Deborah Eversole, Counselor Medicare: Not Enrolled in Medicare Practice Location: 194 Boh Ln, Hazard, KY 41701 Phone: 606-551-1140 Fax: 606-435-7558 | |
Katelyn Fugate, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 Rockwood Ln, Hazard, KY 41701 Phone: 606-436-5761 Fax: 606-436-5797 | |
Micah Watson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 Rockwood Ln, Hazard, KY 41701 Phone: 606-436-5761 Fax: 606-435-0817 | |
Sheena Nicole Falter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Bulldog Ln, Hazard, KY 41701 Phone: 606-694-7171 | |
Ruth Darland, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 Rockwood Ln, Hazard, KY 41701 Phone: 606-436-5761 Fax: 606-436-5797 |