| Cc Behavioral Health | |
|
244 Holly Grove Rd Corbin KY 40701-4427 | |
| (606) 620-4404 | |
| (606) 620-4410 |
| Full Name | Cc Behavioral Health |
|---|---|
| Speciality | Counselor |
| Location | 244 Holly Grove Rd, Corbin, Kentucky |
| Authorized Official Name and Position | Cymbre Lin Patrick (OWNER) |
| Authorized Official Contact | 6066204404 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cc Behavioral Health 244 Holly Grove Rd Corbin KY 40701-4427 Ph: (606) 620-4404 | Cc Behavioral Health 244 Holly Grove Rd Corbin KY 40701-4427 Ph: (606) 620-4404 |
| NPI Number | 1265239602 |
|---|---|
| Provider Enumeration Date | 02/25/2025 |
| Last Update Date | 03/25/2025 |
| Certification Date | 02/25/2025 |
| Medicare PECOS PAC ID | 3072039411 |
|---|---|
| Medicare Enrollment ID | O20250429000418 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265239602 | NPI | - | NPPES |
| Provider Name | Cymbre Lin Patrick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003228222 PECOS PAC ID: 5395165633 Enrollment ID: I20201026001954 |
| Provider Name | Stephanie Jordan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730590449 PECOS PAC ID: 4880128495 Enrollment ID: I20241105001823 |
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