| Anam Cara, Llc | |
|
1011 Lehman Ave Suite 104 Bowling Green KY 42103-6515 | |
| (270) 843-8233 | |
| (270) 393-9835 |
| Full Name | Anam Cara, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1011 Lehman Ave, Bowling Green, Kentucky |
| Authorized Official Name and Position | Mary Michele Thomas (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 2708438233 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anam Cara, Llc 1011 Lehman Ave Suite 104 Bowling Green KY 42103-6515 Ph: (270) 843-8233 | Anam Cara, Llc 1011 Lehman Ave Suite 104 Bowling Green KY 42103-6515 Ph: (270) 843-8233 |
| NPI Number | 1548394943 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548394943 | NPI | - | NPPES |
| 000000358792 | Other | KY | ANTHEM BCBLUE SHIELD |
| 0001149584 | Other | KY | MHN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSYCHOLOGIST 1311 (Kentucky) | Primary |
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