| Commonwealth Counseling Corp | |
|
1609 S Main St Hopkinsville KY 42240-1970 | |
| (270) 881-1062 | |
| (270) 887-0785 |
| Full Name | Commonwealth Counseling Corp |
|---|---|
| Speciality | Social Worker |
| Location | 1609 S Main St, Hopkinsville, Kentucky |
| Authorized Official Name and Position | Peggy H. Mullins (OWNER) |
| Authorized Official Contact | 2708811062 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Commonwealth Counseling Corp 1861 E. 9th St. Hopkinsville KY 42240-1970 Ph: (270) 881-1062 | Commonwealth Counseling Corp 1609 S Main St Hopkinsville KY 42240-1970 Ph: (270) 881-1062 |
| NPI Number | 1659474518 |
|---|---|
| Provider Enumeration Date | 09/06/2006 |
| Last Update Date | 10/30/2007 |
| Medicare PECOS PAC ID | 7618900457 |
|---|---|
| Medicare Enrollment ID | O20050913000882 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659474518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | KY1182 (Kentucky) | Secondary |
| 1041C0700X | Social Worker - Clinical | KY03 (Kentucky) | Primary |
| Provider Name | Alison Paige Mullins-couch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467408617 PECOS PAC ID: 3779516521 Enrollment ID: I20050913000916 |
| Provider Name | Peggy H Mullins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336195544 PECOS PAC ID: 2062445802 Enrollment ID: I20120514000303 |
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