| Bluegrass Pathways | |
|
1795 Alysheba Way Ste 3202 Lexington KY 40509-2280 | |
| (859) 334-1063 | |
| Not Available |
| Full Name | Bluegrass Pathways |
|---|---|
| Speciality | Counselor |
| Location | 1795 Alysheba Way Ste 3202, Lexington, Kentucky |
| Authorized Official Name and Position | Lynn Nagorski (MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 4026171380 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluegrass Pathways 1004 Applecross Dr Lexington KY 40511-8980 Ph: (402) 617-1380 | Bluegrass Pathways 1795 Alysheba Way Ste 3202 Lexington KY 40509-2280 Ph: (859) 334-1063 |
| NPI Number | 1780416008 |
|---|---|
| Provider Enumeration Date | 08/15/2024 |
| Last Update Date | 11/22/2024 |
| Certification Date | 11/22/2024 |
| Medicare PECOS PAC ID | 6406387166 |
|---|---|
| Medicare Enrollment ID | O20241004002088 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780416008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Lynn M. Nagorski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588896096 PECOS PAC ID: 2264877562 Enrollment ID: I20241004002185 |
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