| Miss Laura Moore, LPCC | |
|
401 Lewis Hargett Cir Ste 220, Lexington, KY 40503-3565 | |
| (859) 971-2585 | |
| (859) 971-7594 |
| Full Name | Miss Laura Moore |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 401 Lewis Hargett Cir Ste 220, Lexington, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053731711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 103005 (Kentucky) | Primary |
| Entity Name | Mental Health Specialty Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801472634 PECOS PAC ID: 8921466228 Enrollment ID: O20240921000535 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Laura Moore, LPCC 10100 Elida Rd, Delphos, OH 45833-9058 Ph: (419) 695-8010 | Miss Laura Moore, LPCC 401 Lewis Hargett Cir Ste 220, Lexington, KY 40503-3565 Ph: (859) 971-2585 |
Sarah E Ford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1351 Newtown Pike, Lexington, KY 40511 Phone: 859-253-1686 | |
Michael S Stratton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1351 Newtown Pike, Lexington, KY 40511 Phone: 859-253-1686 | |
Martin Bennett Hundley, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 274 Southland Dr # 204, Lexington, KY 40503 Phone: 859-278-3456 | |
Tiffany Morgan Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1351 Newtown Pike Bldg 1, Lexington, KY 40511 Phone: 589-253-1686 | |
Teonna Wilson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1351 Newtown Pike, Lexington, KY 40511 Phone: 859-253-1686 | |
Mr. Andre Riddick Sr., LPCC Counselor Medicare: Medicare Enrolled Practice Location: 1301 Winchester Rd Ste 147, Lexington, KY 40505 Phone: 859-991-0710 Fax: 859-309-1791 | |
Natalie Dev, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1351 Newtown Pike Bldg 5, Lexington, KY 40511 Phone: 859-253-1686 |