| Tyler Fouts, LPCC | |
|
93 Pickett Ln, Prestonsburg, KY 41653-8569 | |
| (606) 339-4704 | |
| Not Available |
| Full Name | Tyler Fouts |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 93 Pickett Ln, Prestonsburg, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467187286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 296528 (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 |
|---|---|
| Tyler Fouts, LPCC 93 Pickett Ln, Prestonsburg, KY 41653-8569 Ph: (606) 339-4704 | Tyler Fouts, LPCC 93 Pickett Ln, Prestonsburg, KY 41653-8569 Ph: (606) 339-4704 |
Phillip Caudill, Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 S Front Ave, Prestonsburg, KY 41653 Phone: 606-886-8572 Fax: 606-886-4433 | |
Rachael Willoughby, Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 S Front Ave, Prestonsburg, KY 41653 Phone: 606-886-8572 Fax: 606-886-4433 | |
Brittany Sanders, Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 S Front Ave, Prestonsburg, KY 41653 Phone: 606-886-8572 Fax: 606-886-4433 | |
Donna Crider, Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 S Front Ave, Prestonsburg, KY 41653 Phone: 606-886-8572 Fax: 606-886-4433 | |
Chelsea Goble, Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 S Front Ave, Prestonsburg, KY 41653 Phone: 606-886-8572 Fax: 606-886-4433 | |
Sydney Smoot, Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 S Front Ave, Prestonsburg, KY 41653 Phone: 606-886-8572 Fax: 606-886-4433 | |
Treasure Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 S Front Ave, Prestonsburg, KY 41653 Phone: 606-886-8572 Fax: 606-886-4433 |