| Mr Michael Billy Jennings, MED, LPCA | |
|
103 Main St, Munfordville, KY 42765-9083 | |
| (270) 696-3181 | |
| Not Available |
| Full Name | Mr Michael Billy Jennings |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 103 Main St, Munfordville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700244829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 242805 (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 |
|---|---|
| Mr Michael Billy Jennings, MED, LPCA 103 Main St, Munfordville, KY 42765-9083 Ph: (270) 696-3181 | Mr Michael Billy Jennings, MED, LPCA 103 Main St, Munfordville, KY 42765-9083 Ph: (270) 696-3181 |
Lauren B Bandy, LPA Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 West Union St, Munfordville, KY 42765 Phone: 270-524-2713 Fax: 270-524-0437 | |
Kyle Cates, Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 W Union St, Munfordville, KY 42765 Phone: 270-901-5000 | |
Savannah Jo Clemons, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 505 West Union St, Munfordville, KY 42765 Phone: 844-435-0900 Fax: 270-858-4029 | |
Samantha Hines, Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 W Union St, Munfordville, KY 42765 Phone: 270-524-9883 | |
Anastasia Stacy Wyatt, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 West Union Street, Munfordville, KY 42765 Phone: 270-524-9883 Fax: 270-524-0437 | |
Stacy L Roten, Counselor Medicare: Not Enrolled in Medicare Practice Location: 948 Main Street, Munfordville, KY 42765 Phone: 270-218-0941 | |
Autumn Minch, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 118 W Union St, Munfordville, KY 42765 Phone: 270-901-5000 |