| Savannah Jo Clemons, LPCC | |
|
505 West Union St, Munfordville, KY 42765-8909 | |
| (844) 435-0900 | |
| (270) 858-4029 |
| Full Name | Savannah Jo Clemons |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 505 West Union 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 |
|---|---|---|---|
| 1104320779 | NPI | - | NPPES |
| 172500 | Other | KY | KENTUCKY BOARD OF LICENSED PROFESSIONAL COUNSELORS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 288209 (Kentucky) | Primary |
| 101YP2500X | Counselor - Professional | 172500 (Kentucky) | Secondary |
| 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 |
|---|---|
| Savannah Jo Clemons, LPCC Po Box 1080, Burkesville, KY 42717-1080 Ph: (270) 864-1472 | Savannah Jo Clemons, LPCC 505 West Union St, Munfordville, KY 42765-8909 Ph: (844) 435-0900 |
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 | |
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 |