| Mrs Khrystin Ballenger, LMFT | |
|
380 Suwannee Trail St, Bowling Green, KY 42103-7956 | |
| (270) 901-5000 | |
| (270) 842-5268 |
| Full Name | Mrs Khrystin Ballenger |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 380 Suwannee Trail St, Bowling Green, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366713364 | NPI | - | NPPES |
| 7100372860 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 164357 (Kentucky) | Primary |
| Entity Name | Extended Care Specialists, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134146079 PECOS PAC ID: 2466407713 Enrollment ID: O20190703001141 |
| Entity Name | Eventus Wholehealth Midwest Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386252757 PECOS PAC ID: 4183040470 Enrollment ID: O20211217001894 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Khrystin Ballenger, LMFT 380 Suwannee Trail St, Bowling Green, KY 42103-7956 Ph: (270) 901-5000 | Mrs Khrystin Ballenger, LMFT 380 Suwannee Trail St, Bowling Green, KY 42103-7956 Ph: (270) 901-5000 |
Lisa Rae Rice, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1830 Destiny Ln, Suite 107, Bowling Green, KY 42104 Phone: 270-846-3222 Fax: 270-846-3228 | |
Kimberly G Early, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1830 Destiny Court, Suite 107, Bowling Green, KY 42104 Phone: 270-846-3222 Fax: 270-846-3228 | |
Jennifer Nicole Wheeler, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 181 W Professional Park Ct, Suite 1, Bowling Green, KY 42104 Phone: 270-843-5300 Fax: 270-843-5383 | |
Dr. John Sivley, LCSW Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 380 Suwannee Trail Street, Bowling Green, KY 42103 Phone: 270-901-5000 Fax: 270-842-5268 | |
Mr. David E. Scott, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 1910 Lyda Ave, Bowling Green, KY 42104 Phone: 270-904-6567 | |
Shelby French, MMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 814 State St Ste 205, Bowling Green, KY 42101 Phone: 615-541-9636 | |
Caleb Joshua Bonner, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 410 E 11th Ave, Bowling Green, KY 42101 Phone: 270-438-3191 |