| Mrs Elizabeth Lue Suzanne Etherton, LPCC | |
|
3499 Blazer Pkwy Ste 440, Lexington, KY 40509-2803 | |
| (859) 338-5762 | |
| (859) 456-2949 |
| Full Name | Mrs Elizabeth Lue Suzanne Etherton |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 3499 Blazer Pkwy Ste 440, 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 |
|---|---|---|---|
| 1760894588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 166690 (Kentucky) | Primary |
| Entity Name | In The Scene Wellness Collective Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609647650 PECOS PAC ID: 7315474301 Enrollment ID: O20250103000539 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Elizabeth Lue Suzanne Etherton, LPCC 996 E New Circle Rd Unit 166, Lexington, KY 40505-4127 Ph: (859) 338-5762 | Mrs Elizabeth Lue Suzanne Etherton, LPCC 3499 Blazer Pkwy Ste 440, Lexington, KY 40509-2803 Ph: (859) 338-5762 |
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 |