| Deep Waters Counseling Services Llc | |
|
1201 Saint Christopher Dr Ashland KY 41101-7064 | |
| (606) 471-2561 | |
| Not Available |
| Full Name | Deep Waters Counseling Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 1201 Saint Christopher Dr, Ashland, Kentucky |
| Authorized Official Name and Position | Misty Walter (OWNER/MEMBER) |
| Authorized Official Contact | 6064712561 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deep Waters Counseling Services Llc 1201 Saint Christopher Dr Ste B Ashland KY 41101-7064 Ph: (606) 471-2561 | Deep Waters Counseling Services Llc 1201 Saint Christopher Dr Ashland KY 41101-7064 Ph: (606) 471-2561 |
| NPI Number | 1679370779 |
|---|---|
| Provider Enumeration Date | 02/26/2025 |
| Last Update Date | 04/02/2025 |
| Certification Date | 04/02/2025 |
| Medicare PECOS PAC ID | 6901321520 |
|---|---|
| Medicare Enrollment ID | O20250416001632 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679370779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Misty Lynn Walter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922028737 PECOS PAC ID: 8729029327 Enrollment ID: I20050513000151 |
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