| Counseling And Diagnostic Center, Llc | |
|
7426 Us Highway 42 Ste 106 Florence KY 41042-2056 | |
| (859) 282-0119 | |
| (859) 282-8018 |
| Full Name | Counseling And Diagnostic Center, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 7426 Us Highway 42 Ste 106, Florence, Kentucky |
| Authorized Official Name and Position | Thomas Craton Noyes (MANAGING PARTNER) |
| Authorized Official Contact | 8592820119 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling And Diagnostic Center, Llc 7426 Us Highway 42 Ste 106 Florence KY 41042-2056 Ph: (859) 282-0119 | Counseling And Diagnostic Center, Llc 7426 Us Highway 42 Ste 106 Florence KY 41042-2056 Ph: (859) 282-0119 |
| NPI Number | 1679644967 |
|---|---|
| Provider Enumeration Date | 11/10/2006 |
| Last Update Date | 02/27/2025 |
| Certification Date | 02/27/2025 |
| Medicare PECOS PAC ID | 4981976222 |
|---|---|
| Medicare Enrollment ID | O20170821002027 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679644967 | NPI | - | NPPES |
| Provider Name | Tammy S Pentecost |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285992594 PECOS PAC ID: 5991921405 Enrollment ID: I20140718000576 |
| Provider Name | Thomas C Noyes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134258833 PECOS PAC ID: 0547583957 Enrollment ID: I20141216000233 |
| Provider Name | Christen T Logue |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285000752 PECOS PAC ID: 0143538181 Enrollment ID: I20150924002491 |
| Provider Name | Kallye J Renner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093299299 PECOS PAC ID: 9032529839 Enrollment ID: I20201106000153 |
| Provider Name | Pamela Dickerson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558739490 PECOS PAC ID: 9830502699 Enrollment ID: I20210115001392 |
| Provider Name | Rebecca Elliston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447727185 PECOS PAC ID: 2668877028 Enrollment ID: I20210823002640 |
| Provider Name | Jayme Linville-begley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871189431 PECOS PAC ID: 6305296013 Enrollment ID: I20231221000712 |
| Provider Name | Rachel E Smithson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255842332 PECOS PAC ID: 8325482946 Enrollment ID: I20240221004097 |
| Provider Name | Micah Thomas Noyes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295124527 PECOS PAC ID: 4688077431 Enrollment ID: I20240530004006 |
| Provider Name | Jennifer Paige Reynolds |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487309670 PECOS PAC ID: 8123567575 Enrollment ID: I20240829000255 |
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