| Tracy Chaney Oldaker, LPCC-S | |
|
618 N Green St, Henderson, KY 42420-2949 | |
| (270) 826-8314 | |
| Not Available |
| Full Name | Tracy Chaney Oldaker |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 618 N Green 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 |
|---|---|---|---|
| 1104425594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 103362 (Kentucky) | Secondary |
| 101YP2500X | Counselor - Professional | 103362 (Kentucky) | Primary |
| Entity Name | Green River Regional Mental Health/mental Retardation Board, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285689711 PECOS PAC ID: 4082522396 Enrollment ID: O20040121000007 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Chaney Oldaker, LPCC-S Po Box 1637, Owensboro, KY 42302-1637 Ph: (270) 689-6500 | Tracy Chaney Oldaker, LPCC-S 618 N Green St, Henderson, KY 42420-2949 Ph: (270) 826-8314 |
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 | |
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 |