| Michaela Lorene Gonzalez, LPCC | |
|
705 Wright Dr, Columbia, KY 42728-1125 | |
| (270) 380-1944 | |
| Not Available |
| Full Name | Michaela Lorene Gonzalez |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 705 Wright Dr, Columbia, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265154629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 299315 (Kentucky) | Primary |
| Entity Name | Bluegrass Professional Counseling LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063899789 PECOS PAC ID: 3476815085 Enrollment ID: O20180320000399 |
| Mailing Address | Practice Location Address |
|---|---|
| Michaela Lorene Gonzalez, LPCC Po Box 1145, Jamestown, KY 42629-1145 Ph: Not Available | Michaela Lorene Gonzalez, LPCC 705 Wright Dr, Columbia, KY 42728-1125 Ph: (270) 380-1944 |
Amanda Jobe, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 E Frazier Ave, Columbia, KY 42728 Phone: 270-384-4719 |
Austin S Owens, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1200 Russell Rd, Columbia, KY 42728 Phone: 270-634-9346 |
Colbie Staten, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 E Frazier Ave, Columbia, KY 42728 Phone: 270-384-4719 |
Dr. Tommie A Saragas, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Merchant St, Columbia, KY 42728 Phone: 606-273-8451 |
Martha Ann Pearson, LPCC Counselor Medicare: Accepting Medicare Assignments Practice Location: 112 Office Park Dr, Columbia, KY 42728 Phone: 270-864-1625 |
Karen Pescosolido, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 E Frazier Ave, Columbia, KY 42728 Phone: 270-384-4719 |
Savannah Morgan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 E Frazier Ave, Columbia, KY 42728 Phone: 270-384-4719 |