| Stacy L Mckenzie-baca, LPCC | |
|
404 Euclid Ave, Paintsville, KY 41240-1167 | |
| (606) 889-1602 | |
| (606) 263-4467 |
| Full Name | Stacy L Mckenzie-baca |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 404 Euclid Ave, Paintsville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528146560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 171280 (Kentucky) | Primary |
| Entity Name | Ohio Valley Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962433177 PECOS PAC ID: 8729032966 Enrollment ID: O20060130000121 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy L Mckenzie-baca, LPCC Po Box 390, Huntington, WV 25708-0390 Ph: (304) 429-1088 | Stacy L Mckenzie-baca, LPCC 404 Euclid Ave, Paintsville, KY 41240-1167 Ph: (606) 889-1602 |
Jimmy Woodrow Arnett, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 1032 Broadway St, Paintsville, KY 41240 Phone: 606-789-8531 | |
Carol Mcglothen, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1005 Broadway St, Paintsville, KY 41240 Phone: 606-789-4779 Fax: 606-789-0381 | |
Jonathan Paul Newman, MHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1101 S Mayo Trail, Paintsville, KY 41240 Phone: 606-789-3518 Fax: 606-789-3530 | |
Heather Hernandez, CADC Counselor Medicare: Medicare Enrolled Practice Location: 628 Jefferson Ave, Paintsville, KY 41240 Phone: 606-789-6966 Fax: 606-789-7466 | |
Wendell Hamilton Jr., LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 485 Ponderosa Dr, Paintsville, KY 41240 Phone: 606-877-3135 Fax: 606-789-4833 | |
Elizabeth Anne Fitch, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 485 Ponderosa Dr, Paintsville, KY 41240 Phone: 859-269-0635 | |
Michaela Raine Fisher, M. ED. LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 485 Ponderosa Dr, Paintsville, KY 41240 Phone: 606-359-5017 |