| Stephanie D Montgomery, LPCC | |
|
203 N Elm St, Henderson, KY 42420-3132 | |
| (270) 826-8761 | |
| (270) 826-8737 |
| Full Name | Stephanie D Montgomery |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 203 N Elm St, Henderson, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952799355 | NPI | - | NPPES |
| 7100401300 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 165585 (Kentucky) | Primary |
| Entity Name | Lighthouse Counseling Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740316058 PECOS PAC ID: 4789839028 Enrollment ID: O20130312000533 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie D Montgomery, LPCC 230 2nd St Ste 406, Henderson, KY 42420-3174 Ph: (270) 826-8761 | Stephanie D Montgomery, LPCC 203 N Elm St, Henderson, KY 42420-3132 Ph: (270) 826-8761 |
Bradley Wimsatt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 Us Highway 41 S, Henderson, KY 42420 Phone: 270-831-2231 | |
Ms. Janice Marie Hutchason, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 230 2nd St Ste 406, Henderson, KY 42420 Phone: 270-826-8761 | |
Tracy Chaney Oldaker, LPCC-S Counselor Medicare: Medicare Enrolled Practice Location: 618 N Green St, Henderson, KY 42420 Phone: 270-826-8314 | |
Rhonda Marsh, Counselor Medicare: Not Enrolled in Medicare Practice Location: 203 N Elm St, Henderson, KY 42420 Phone: 812-629-7447 | |
Gordon Stinnett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 230 2nd St Ste 406, Henderson, KY 42420 Phone: 270-867-8761 Fax: 270-826-8737 | |
Jessica Harris, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 230 2nd St, Suite 308, Henderson, KY 42420 Phone: 270-826-8761 Fax: 270-826-8737 | |
Adreonna Mundy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 203 N Elm St, Henderson, KY 42420 Phone: 270-826-8761 Fax: 270-826-8737 |