| Stacie Ann Selfe, LMFT | |
|
20 West 18th Street, Covington, KY 41011-3329 | |
| (859) 757-0717 | |
| (859) 331-2425 |
| Full Name | Stacie Ann Selfe |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 20 West 18th Street, Covington, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912102807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFT001042 (Georgia) | Secondary |
| 106H00000X | Marriage & Family Therapist | 106452 (Kentucky) | Primary |
| Entity Name | Summit Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508287640 PECOS PAC ID: 2163326240 Enrollment ID: O20031120000738 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacie Ann Selfe, LMFT Po Box 635283, Cincinnati, OH 45263-5283 Ph: (859) 757-0717 | Stacie Ann Selfe, LMFT 20 West 18th Street, Covington, KY 41011-3329 Ph: (859) 757-0717 |
Andrew F Arthur, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 20 W 18th St, Covington, KY 41011 Phone: 859-757-0717 Fax: 859-331-2425 | |
Felicia L Valero, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4339 Winston Ave, Covington, KY 41015 Phone: 859-743-1843 | |
Sharee Allen, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 502 Scott St, Covington, KY 41011 Phone: 323-734-4314 |