| Mandy Lee West, LPCC | |
|
54 Elizabeth Ln, South Shore, KY 41175-7919 | |
| (606) 369-2099 | |
| Not Available |
| Full Name | Mandy Lee West |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 54 Elizabeth Ln, South Shore, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841700069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | C.20025574 (Ohio) | Secondary |
| 101Y00000X | Counselor | C.1700027-TRNE (Ohio) | Secondary |
| 101YP2500X | Counselor - Professional | 260822 (Kentucky) | Primary |
| Entity Name | Thriveworks Kentucky - Clinical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184385841 PECOS PAC ID: 6406227370 Enrollment ID: O20230201001128 |
| Mailing Address | Practice Location Address |
|---|---|
| Mandy Lee West, LPCC 54 Elizabeth Ln, South Shore, KY 41175-7919 Ph: (606) 369-2099 | Mandy Lee West, LPCC 54 Elizabeth Ln, South Shore, KY 41175-7919 Ph: (606) 369-2099 |
Shanalee J Branham, Counselor Medicare: Accepting Medicare Assignments Practice Location: 472 Main St, South Shore, KY 41175 Phone: 866-233-1955 Fax: 606-783-9952 | |
Mrs. Mary Elizabeth Hardy-garcia, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 Biggs Ln, South Shore, KY 41175 Phone: 740-577-5289 Fax: 606-932-2453 |