| Counseling Of The Bluegrass Llc | |
|
419 Main St Paris KY 40361-1812 | |
| (859) 377-5050 | |
| (859) 377-5006 |
| Full Name | Counseling Of The Bluegrass Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 419 Main St, Paris, Kentucky |
| Authorized Official Name and Position | Jennifer Susanne Ormsby (OWNER) |
| Authorized Official Contact | 8593775050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Of The Bluegrass Llc 419 Main St Paris KY 40361-1812 Ph: (859) 377-5050 | Counseling Of The Bluegrass Llc 419 Main St Paris KY 40361-1812 Ph: (859) 377-5050 |
| NPI Number | 1962933556 |
|---|---|
| Provider Enumeration Date | 03/24/2017 |
| Last Update Date | 11/26/2024 |
| Certification Date | 11/26/2024 |
| Medicare PECOS PAC ID | 8224566831 |
|---|---|
| Medicare Enrollment ID | O20250110000155 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962933556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 800238 (Kentucky) | Primary |
| Provider Name | Jennifer Ormsby |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659802643 PECOS PAC ID: 9133657745 Enrollment ID: I20250110000198 |
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