Mr Bradley Wayne Shelton, LCADC | |
125 S Main Cross St, Louisa, KY 41230-1065 | |
(606) 638-0938 | |
Not Available |
Full Name | Mr Bradley Wayne Shelton |
---|---|
Gender | Male |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 125 S Main Cross St, Louisa, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1639922487 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 290092 (Kentucky) | Primary |
Entity Name | Spero Health Of Kentucky, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982102109 PECOS PAC ID: 1052792041 Enrollment ID: O20220721003823 |
Mailing Address | Practice Location Address |
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Mr Bradley Wayne Shelton, LCADC 125 S Main Cross St, Louisa, KY 41230-1065 Ph: (606) 638-0938 | Mr Bradley Wayne Shelton, LCADC 125 S Main Cross St, Louisa, KY 41230-1065 Ph: (606) 638-0938 |
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 Mayes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 S Main Cross St Ste 202, Louisa, KY 41230 Phone: 606-638-0938 |