| Alliance Counseling Associates | |
|
104 Reynolds Rd Glasgow KY 42141-1177 | |
| (270) 678-4801 | |
| Not Available |
| Full Name | Alliance Counseling Associates |
|---|---|
| Speciality | Counselor |
| Location | 104 Reynolds Rd, Glasgow, Kentucky |
| Authorized Official Name and Position | Hannah Medley (CREDENTIALING MANAGER) |
| Authorized Official Contact | 2706701461 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance Counseling Associates 104 Reynolds Rd Glasgow KY 42141-1177 Ph: (270) 904-6567 | Alliance Counseling Associates 104 Reynolds Rd Glasgow KY 42141-1177 Ph: (270) 678-4801 |
| NPI Number | 1285938209 |
|---|---|
| Provider Enumeration Date | 01/05/2011 |
| Last Update Date | 03/16/2022 |
| Certification Date | 03/16/2022 |
| Medicare PECOS PAC ID | 9436443736 |
|---|---|
| Medicare Enrollment ID | O20160809003226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285938209 | NPI | - | NPPES |
| Provider Name | Shelly D Champagne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548526049 PECOS PAC ID: 1850536954 Enrollment ID: I20130320000395 |
| Provider Name | Melynda M Amorim |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184034985 PECOS PAC ID: 9234411893 Enrollment ID: I20170117001191 |
| Provider Name | Marcie N Crain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164890877 PECOS PAC ID: 1052670841 Enrollment ID: I20180124002750 |
| Provider Name | Leisia K Landers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720493810 PECOS PAC ID: 6406249986 Enrollment ID: I20220204000857 |
| Provider Name | Amy Baird |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194957142 PECOS PAC ID: 3476998949 Enrollment ID: I20240224000317 |
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