| Allyson Blythe, Llc | |
|
7430 Us Highway 42 Ste 217 Florence KY 41042-1992 | |
| (859) 341-7773 | |
| (859) 341-0376 |
| Full Name | Allyson Blythe, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 7430 Us Highway 42 Ste 217, Florence, Kentucky |
| Authorized Official Name and Position | Allyson R Blythe (OWNER) |
| Authorized Official Contact | 8593417773 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allyson Blythe, Llc 7430 Us Highway 42 Ste 217 Florence KY 41042-1992 Ph: (859) 341-7773 | Allyson Blythe, Llc 7430 Us Highway 42 Ste 217 Florence KY 41042-1992 Ph: (859) 341-7773 |
| NPI Number | 1356677033 |
|---|---|
| Provider Enumeration Date | 10/30/2009 |
| Last Update Date | 02/05/2024 |
| Certification Date | 02/05/2024 |
| Medicare PECOS PAC ID | 2567504061 |
|---|---|
| Medicare Enrollment ID | O20100121000586 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356677033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | 1304 (Kentucky) | Secondary |
| Provider Name | Allyson R Blythe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497816243 PECOS PAC ID: 5991782955 Enrollment ID: I20040723000372 |
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