Kelsey D Leveridge, | |
101 Town And Country Ln Ste 106, Hazard, KY 41701-9524 | |
(606) 435-7557 | |
(606) 435-7558 |
Full Name | Kelsey D Leveridge |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 101 Town And Country Ln Ste 106, 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 |
---|---|---|---|
1679224257 | NPI | - | NPPES |
7100815470 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 260760 (Kentucky) | Secondary |
101YP2500X | Counselor - Professional | 277285 (Kentucky) | Primary |
Entity Name | Beacons Of Hope Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568119394 PECOS PAC ID: 6709255821 Enrollment ID: O20230123000381 |
Mailing Address | Practice Location Address |
---|---|
Kelsey D Leveridge, Po Box 2011, Hazard, KY 41702-2011 Ph: (606) 435-7557 | Kelsey D Leveridge, 101 Town And Country Ln Ste 106, Hazard, KY 41701-9524 Ph: (606) 435-7557 |
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 | |
Ruth Darland, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 Rockwood Ln, Hazard, KY 41701 Phone: 606-436-5761 Fax: 606-436-5797 | |
Katrina Sturgill, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 Rockwood Ln, Hazard, KY 41701 Phone: 606-436-5761 Fax: 606-436-5797 |