| Alive Now Llc | |
|
1603 Versailles Rd Lexington KY 40504-2401 | |
| (859) 270-6119 | |
| Not Available |
| Full Name | Alive Now Llc |
|---|---|
| Speciality | Counselor |
| Location | 1603 Versailles Rd, Lexington, Kentucky |
| Authorized Official Name and Position | Jan Hollis-cole (OWNER) |
| Authorized Official Contact | 8592706119 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alive Now Llc 1603 Versailles Rd Lexington KY 40504-2401 Ph: (859) 270-6119 | Alive Now Llc 1603 Versailles Rd Lexington KY 40504-2401 Ph: (859) 270-6119 |
| NPI Number | 1326779927 |
|---|---|
| Provider Enumeration Date | 06/23/2022 |
| Last Update Date | 06/30/2022 |
| Certification Date | 06/30/2022 |
| Medicare PECOS PAC ID | 2668858861 |
|---|---|
| Medicare Enrollment ID | O20220926000941 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326779927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Janet Hollis-cole |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730539727 PECOS PAC ID: 9032591698 Enrollment ID: I20220729001596 |
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