| Diana Thornberry, | |
|
664 Slate Ave, Owingsville, KY 40360-2206 | |
| (606) 233-1955 | |
| Not Available |
| Full Name | Diana Thornberry |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 664 Slate Ave, Owingsville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396231403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 283235 (Kentucky) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 271562 (Kentucky) | Primary |
| Entity Name | Pathways Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982615043 PECOS PAC ID: 1254239171 Enrollment ID: O20031230000043 |
| Mailing Address | Practice Location Address |
|---|---|
| Diana Thornberry, Po Box 790, Ashland, KY 41105-0790 Ph: (606) 329-8588 | Diana Thornberry, 664 Slate Ave, Owingsville, KY 40360-2206 Ph: (606) 233-1955 |
Amy Piercy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 664 Slate Ave, Owingsville, KY 40360 Phone: 606-674-6690 Fax: 606-674-6903 | |
Anthony Wayne Deveraux, P.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 664 Slate Avenue, Owingsville, KY 40360 Phone: 606-674-6690 Fax: 606-674-6903 | |
Kayla Semones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 664 Slate Ave, Owingsville, KY 40360 Phone: 606-329-8588 Fax: 606-329-8195 | |
Hollie M Rasche, Counselor Medicare: Not Enrolled in Medicare Practice Location: 664 Slate Ave, Owingsville, KY 40371 Phone: 606-674-6690 Fax: 606-674-6903 | |
Abigail Chaney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 664 Slate Ave, Owingsville, KY 40360 Phone: 866-233-2955 | |
Kasey Denton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 664 Slate Ave, Owingsville, KY 40360 Phone: 606-674-6690 | |
Emily Larson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 664 Slate Ave, Owingsville, KY 40360 Phone: 606-674-6903 |