| Sarah M Durham, LPCC, NCC | |
|
75 College St, Liberty, KY 42539-3271 | |
| (844) 435-0900 | |
| (270) 858-4029 |
| Full Name | Sarah M Durham |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 75 College St, Liberty, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255801924 | NPI | - | NPPES |
| 7100568680 | Medicaid | KY | |
| 14371968 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 245589 (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 |
|---|---|
| Sarah M Durham, LPCC, NCC Po Box 1080, Burkesville, KY 42717-1080 Ph: (270) 858-6655 | Sarah M Durham, LPCC, NCC 75 College St, Liberty, KY 42539-3271 Ph: (844) 435-0900 |
Kristal Mullins, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6295 E Ky 70, Liberty, KY 42539 Phone: 844-435-0900 Fax: 270-858-4029 | |
William Wethington, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 322 Middleburg Street, Liberty, KY 42539 Phone: 606-787-9472 Fax: 606-787-7344 | |
Jolene Blevins, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 322 Middleburg St, Liberty, KY 42539 Phone: 606-787-9472 | |
Emily J Klingensmith, LPCC Counselor Medicare: Medicare Enrolled Practice Location: Jones Park Elementary Healthy Kids Clinic 6295 E Ky 70, Liberty, KY 42539 Phone: 844-435-0900 | |
John W Weddle, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 322 Middleburg Street, Liberty, KY 42539 Phone: 606-787-9472 Fax: 606-787-7344 | |
Matana Poff, Counselor Medicare: Not Enrolled in Medicare Practice Location: 322 Middleburg Street, Liberty, KY 42539 Phone: 606-787-9472 |