| Tammy Kay Stutler, MS, LPC | |
|
120 Professional Pl Ste 101, Bridgeport, WV 26330-4599 | |
| (304) 513-3495 | |
| Not Available |
| Full Name | Tammy Kay Stutler |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 17 Years |
| Location | 120 Professional Pl Ste 101, Bridgeport, West Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922354331 | NPI | - | NPPES |
| 376241 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 3059 (West Virginia) | Primary |
| 101YP2500X | Counselor - Professional | 6487 (South Carolina) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Grandw Inc | 9739324922 | 89 |
| Appalachian Counseling Center Llc | 5597115782 | 18 |
| Entity Name | Appalachian Counseling Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568928877 PECOS PAC ID: 5597115782 Enrollment ID: O20231229002926 |
| Mailing Address | Practice Location Address |
|---|---|
| Tammy Kay Stutler, MS, LPC 801 47th Ave N, Myrtle Beach, SC 29577-5402 Ph: (843) 997-1538 | Tammy Kay Stutler, MS, LPC 120 Professional Pl Ste 101, Bridgeport, WV 26330-4599 Ph: (304) 513-3495 |
Darice Renee Yerkovich, LICSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 105 N Wedge St, Bridgeport, WV 26330 Phone: 304-598-0344 | |
Katherine Elizabeth Bennett, KATHERINE PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 65 Professional Pl, Bridgeport, WV 26330 Phone: 304-848-5004 | |
Mary Margaret Mcqueen, BCBA Counselor Medicare: Not Enrolled in Medicare Practice Location: 65 Professional Pl Ste 102103, Bridgeport, WV 26330 Phone: 304-848-5770 Fax: 304-848-0890 | |
Sheridan Elizabeth O'donnell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Marketplace Ave., Bridgeport, WV 26330 Phone: 304-848-5770 Fax: 304-842-5477 | |
Rayna Leste Adamy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Market Pl, Bridgeport, WV 26330 Phone: 304-848-5770 | |
Mr. Andro Kim Haws, MC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 Davisson St, Bridgeport, WV 26330 Phone: 304-842-7329 | |
Mrs. Crystal Nicole Pettrey, LGSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 Professional Pl Ste 101, Bridgeport, WV 26330 Phone: 304-513-3495 |