| Kimberly Jo Hollingsworth, | |
|
125 S Main Cross St, Louisa, KY 41230-1330 | |
| (606) 639-0938 | |
| (859) 813-5394 |
| Full Name | Kimberly Jo Hollingsworth |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 5 Years |
| Location | 125 S Main Cross St, Louisa, Kentucky |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316526767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 285207 (Kentucky) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kentucky Counseling Center Llc | 7618221300 | 54 |
| 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 |
|---|---|
| Kimberly Jo Hollingsworth, Po Box 726, Louisa, KY 41230-0726 Ph: (606) 639-0938 | Kimberly Jo Hollingsworth, 125 S Main Cross St, Louisa, KY 41230-1330 Ph: (606) 639-0938 |
Lois Michelle Hubbard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 S Main Cross St, Louisa, KY 41230 Phone: 606-638-0938 | |
Oma Hounshell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 60 Professional Park Dr, Louisa, KY 41230 Phone: 606-638-4332 Fax: 606-638-4394 | |
Charlotte Williamson, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 S Main Cross St, Louisa, KY 41230 Phone: 606-638-0938 | |
John Stephen Vickers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 S Main Cross St, Louisa, KY 41230 Phone: 606-638-0938 | |
Teddy Ralston, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 S Main Cross St, Louisa, KY 41230 Phone: 606-638-0938 Fax: 859-813-5394 | |
Shannon Hautala, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 S Main Cross St, Louisa, KY 41230 Phone: 606-638-0938 | |
Brandi Dawn Marshall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 S Main Cross St Ste 202, Louisa, KY 41230 Phone: 606-638-0938 |