| Mrs Monica T Bledsoe, LPCC | |
|
301 Professional Park Dr, Glasgow, KY 42141-3487 | |
| (270) 651-9696 | |
| (270) 651-0385 |
| Full Name | Mrs Monica T Bledsoe |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 301 Professional Park Dr, Glasgow, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851541833 | NPI | - | NPPES |
| 11891021 | Other | CAQH | |
| 7100293270 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0934 (Kentucky) | Secondary |
| 101YM0800X | Counselor - Mental Health | 103017 (Kentucky) | Primary |
| Entity Name | Cumberland Family Medical Center, Inc.. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306873500 PECOS PAC ID: 6305947789 Enrollment ID: O20120221000433 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Monica T Bledsoe, LPCC Po Box 1080, Burkesville, KY 42717-1080 Ph: (270) 858-6655 | Mrs Monica T Bledsoe, LPCC 301 Professional Park Dr, Glasgow, KY 42141-3487 Ph: (270) 651-9696 |
Derrick Wagoner, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 104 Reynolds Rd, Glasgow, KY 42141 Phone: 270-678-4801 Fax: 270-678-3866 | |
Amy Brickler, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 104 Reynolds Rd, Glasgow, KY 42141 Phone: 270-678-4801 Fax: 270-678-3866 | |
Liisa Lucas, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 608 Happy Valley Rd, Glasgow, KY 42141 Phone: 270-901-5000 | |
April Crenshaw, Counselor Medicare: Not Enrolled in Medicare Practice Location: 608 Happy Valley Rd, Glasgow, KY 42141 Phone: 270-901-5000 Fax: 270-842-5268 | |
Rachael Keeling, Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 Reynolds Rd, Glasgow, KY 42141 Phone: 270-904-6567 | |
Ms. Jolene Rene Poteet, LPCA Counselor Medicare: Medicare Enrolled Practice Location: 106 W Front St, Glasgow, KY 42141 Phone: 270-904-5104 | |
Ellen Cox, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 218 Columbia Ave, Glasgow, KY 42141 Phone: 270-651-7070 Fax: 270-651-7071 |