| East Kentucky Psychiatric Care, Llc | |
|
72 Allen Ln Campton KY 41301-7899 | |
| (606) 225-2920 | |
| Not Available |
| Full Name | East Kentucky Psychiatric Care, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 72 Allen Ln, Campton, Kentucky |
| Authorized Official Name and Position | Kristian Renee Allen (PSYCHIATRIC NURSE PRACTITIONER) |
| Authorized Official Contact | 6063591440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Kentucky Psychiatric Care, Llc Po Box 100 Campton KY 41301-0100 Ph: (606) 225-2920 | East Kentucky Psychiatric Care, Llc 72 Allen Ln Campton KY 41301-7899 Ph: (606) 225-2920 |
| NPI Number | 1104517358 |
|---|---|
| Provider Enumeration Date | 05/18/2023 |
| Last Update Date | 05/18/2023 |
| Certification Date | 05/18/2023 |
| Medicare PECOS PAC ID | 5698134096 |
|---|---|
| Medicare Enrollment ID | O20230703001671 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104517358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Kristian Renee Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023773132 PECOS PAC ID: 7113303645 Enrollment ID: I20221006000279 |
Wolfe Therapeutic Services, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 724 Falling Water Creek Rd, Campton, KY 41301 Phone: 606-356-8623 | |
Appalachian Wellness, L.l.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 592 Ky 15 South, Suite 5, Campton, KY 41301 Phone: 606-668-7393 Fax: 866-718-4137 |