| Joseph A Correll, LPCC | |
|
278 Kenny Davis Blvd, Monticello, KY 42633-9479 | |
| (844) 435-0900 | |
| (270) 858-4029 |
| Full Name | Joseph A Correll |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 278 Kenny Davis Blvd, Monticello, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366561276 | NPI | - | NPPES |
| 15497343 | Other | CAQH | |
| 7100556780 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | KY-0284 (Kentucky) | Primary |
| Entity Name | Cumberland Family Medical Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306873500 PECOS PAC ID: 6305947789 Enrollment ID: O20120221000433 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph A Correll, LPCC Po Box 1080, Burkesville, KY 42717-1080 Ph: (270) 858-6655 | Joseph A Correll, LPCC 278 Kenny Davis Blvd, Monticello, KY 42633-9479 Ph: (844) 435-0900 |
Stephanie G Gallagher, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 278 Kenny Davis Blvd, Monticello, KY 42633 Phone: 844-435-0900 Fax: 270-858-4607 | |
Lucy Namulemo, PHD, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 80 Rolling Hills Blvd, Monticello, KY 42633 Phone: 606-343-0216 Fax: 606-343-0224 | |
Presley Danielle Rice, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 80 Rolling Hills Blvd, Monticello, KY 42633 Phone: 606-343-0216 Fax: 606-343-0224 | |
Mr. Timothy Ray Stockton, LPCC,NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 840 S Main St, Monticello, KY 42633 Phone: 606-307-6688 | |
Susan Agee Hicks, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2963 Highway 833, Monticello, KY 42633 Phone: 606-575-5192 | |
Joyce Bolin, MHE Counselor Medicare: Not Enrolled in Medicare Practice Location: 802 W Columbia Ave, Monticello, KY 42633 Phone: 606-348-9318 Fax: 606-348-6932 | |
Wendy Parnell Denney, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 80 Rolling Hills Blvd, Monticello, KY 42633 Phone: 606-343-0216 Fax: 606-343-0224 |