| Pamela Sue Mcpeak, LPCC | |
|
109 Sartin Dr, Edmonton, KY 42129-8170 | |
| (270) 432-2444 | |
| (270) 432-2445 |
| Full Name | Pamela Sue Mcpeak |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 109 Sartin Dr, Edmonton, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225801566 | NPI | - | NPPES |
| 106069900 | Other | KY | CAQH |
| 288207 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 288207 (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 |
| Entity Name | Kw Consulting Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679127781 PECOS PAC ID: 6901291756 Enrollment ID: O20220315001314 |
| Mailing Address | Practice Location Address |
|---|---|
| Pamela Sue Mcpeak, LPCC Po Box 1080, Burkesville, KY 42717-1080 Ph: (270) 858-6655 | Pamela Sue Mcpeak, LPCC 109 Sartin Dr, Edmonton, KY 42129-8170 Ph: (270) 432-2444 |
Erik Hunley, BHS Counselor Medicare: Not Enrolled in Medicare Practice Location: 112 Sartin Dr, Edmonton, KY 42129 Phone: 270-432-4951 Fax: 270-432-5054 | |
Autumn Jordan Lynn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 112 Sartin Dr, Edmonton, KY 42129 Phone: 270-901-5000 | |
Mark Saderholm, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 112 Sartin Dr., Edmonton, KY 42129 Phone: 270-432-4951 Fax: 270-432-5054 | |
Jacklin Carter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 112 Sartin Dr, Edmonton, KY 42129 Phone: 270-901-5000 | |
Rita Milby, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 112 Sartin Dr., Edmonton, KY 42129 Phone: 270-432-4951 Fax: 270-432-5054 | |
Chastity Renee Munoz, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 112 Sartin Dr, Edmonton, KY 42129 Phone: 270-901-5000 Fax: 270-842-5268 |