| William David Back, LPCC, TACDC | |
|
649 Chamberlin Ave Ste 2500, Frankfort, KY 40601-4288 | |
| (216) 468-5000 | |
| (216) 456-8128 |
| Full Name | William David Back |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 16 Years |
| Location | 649 Chamberlin Ave Ste 2500, Frankfort, Kentucky |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083135636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 162868 (Kentucky) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 168467 (Kentucky) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Psychological And Behavioral Consultants Llc | 0446243760 | 560 |
| Entity Name | Psychological & Behavioral Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811915713 PECOS PAC ID: 0446243760 Enrollment ID: O20160926002081 |
| Mailing Address | Practice Location Address |
|---|---|
| William David Back, LPCC, TACDC 4800 N Scottsdale Rd Ste 2500, Scottsdale, AZ 85251-7630 Ph: (216) 468-5000 | William David Back, LPCC, TACDC 649 Chamberlin Ave Ste 2500, Frankfort, KY 40601-4288 Ph: (216) 468-5000 |
Mallory Hamm, MA, LPCA Counselor Medicare: Medicare Enrolled Practice Location: 251 Democrat Dr, Frankfort, KY 40601 Phone: 502-385-0695 | |
Molly Bennett, PSS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2225 Lawrenceburg Rd, Frankfort, KY 40601 Phone: 502-351-2042 Fax: 502-480-4157 | |
Virginia Naomi Marshall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 213 Saint Clair St Ste 204, Frankfort, KY 40601 Phone: 270-401-3149 | |
Kelley J Gannon, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 191 Doctors Dr, Frankfort, KY 40601 Phone: 859-253-1686 Fax: 859-254-2743 | |
Dr. Carol Blanken Saenger, L.P.C.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 211 Washington St, Frankfort, KY 40601 Phone: 502-227-7430 Fax: 502-227-7166 | |
Della M Guynn, LPCC Counselor Medicare: Accepting Medicare Assignments Practice Location: 1030 Burlington Ln Ste 5, Frankfort, KY 40601 Phone: 502-209-7817 |