| Michael J Luley, LPC | |
|
2625 Fairway Dr Ste B, Fulton, MO 65251-4023 | |
| (573) 808-4131 | |
| Not Available |
| Full Name | Michael J Luley |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 26 Years |
| Location | 2625 Fairway Dr Ste B, Fulton, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649321829 | NPI | - | NPPES |
| 498463009 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 979 (Missouri) | Secondary |
| 101YP2500X | Counselor - Professional | 2001007816 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Compass Health Inc | 1951206754 | 246 |
| Entity Name | Compass Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285619494 PECOS PAC ID: 1951206754 Enrollment ID: O20040408000955 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J Luley, LPC 2625 Fairway Dr Ste E, Fulton, MO 65251-4023 Ph: (573) 808-4131 | Michael J Luley, LPC 2625 Fairway Dr Ste B, Fulton, MO 65251-4023 Ph: (573) 808-4131 |
Joni Antonia, LCCSW Counselor Medicare: Medicare Enrolled Practice Location: 1 University Ave, Fulton, MO 65251 Phone: 808-589-1829 Fax: 808-589-2610 | |
Ms. Ashley Battles, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 E 5th St, Fulton, MO 65251 Phone: 573-592-2756 | |
Ms. Trudy Lynn Stephens Baker, EDS LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 413 A Court Street, Fulton, MO 65251 Phone: 573-592-0120 Fax: 573-592-0980 | |
Donna G Merritt, M. ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 2625 Fairway Dr, Suite E, Fulton, MO 65251 Phone: 573-636-6727 Fax: 573-761-5819 | |
Mrs. Anne Marie Rulo, SMFT, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2625 Fairway Dr, Fulton, MO 65251 Phone: 573-999-2510 | |
Valery Kron, Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Market St Ste 101, Fulton, MO 65251 Phone: 573-642-0087 |