| Emerald Therapy Center, LLC | |
|
5050 Village Square Dr Ste B Paducah KY 42001-7552 | |
| (270) 534-5128 | |
| (270) 477-0007 |
| Full Name | Emerald Therapy Center, LLC |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5050 Village Square Dr Ste B, Paducah, Kentucky |
| Authorized Official Name and Position | Shelly Baer (THERAPIST) |
| Authorized Official Contact | 2705345128 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emerald Therapy Center, LLC 5050b Village Square Dr Paducah KY 42001-9499 Ph: (270) 217-2058 | Emerald Therapy Center, LLC 5050 Village Square Dr Ste B Paducah KY 42001-7552 Ph: (270) 534-5128 |
| NPI Number | 1619340387 |
|---|---|
| Provider Enumeration Date | 11/03/2015 |
| Last Update Date | 09/15/2024 |
| Certification Date | 09/15/2024 |
| Medicare PECOS PAC ID | 6103241211 |
|---|---|
| Medicare Enrollment ID | O20210827002743 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619340387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | () | Primary |
| Provider Name | Laurie K Ballew |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639141948 PECOS PAC ID: 8224026034 Enrollment ID: I20040503000098 |
| Provider Name | Rhonda Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851519805 PECOS PAC ID: 3678674306 Enrollment ID: I20070725000595 |
| Provider Name | Carla Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457586638 PECOS PAC ID: 5294881512 Enrollment ID: I20090928000636 |
| Provider Name | Christy L Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518980762 PECOS PAC ID: 6507863198 Enrollment ID: I20141124001989 |
| Provider Name | Leanne Marie Garland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285940577 PECOS PAC ID: 4688943962 Enrollment ID: I20170629001122 |
| Provider Name | Damond J Houston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518203942 PECOS PAC ID: 8224395181 Enrollment ID: I20171130001985 |
| Provider Name | Haley Herndon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508320078 PECOS PAC ID: 3678814910 Enrollment ID: I20190415000303 |
| Provider Name | Hannah K Klein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033542311 PECOS PAC ID: 7012325764 Enrollment ID: I20210416001561 |
| Provider Name | Shelly Baer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396273272 PECOS PAC ID: 1557786662 Enrollment ID: I20210827002894 |
| Provider Name | Alyson Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992563951 PECOS PAC ID: 8820436512 Enrollment ID: I20240401000836 |
| Provider Name | Misty Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730946385 PECOS PAC ID: 7315113925 Enrollment ID: I20240403003667 |
| Provider Name | Lindsey Paige Wilferd |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073255972 PECOS PAC ID: 4981143211 Enrollment ID: I20240829003329 |
| Provider Name | Quinn Scott Lambert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013548825 PECOS PAC ID: 1759816010 Enrollment ID: I20241122002076 |
| Provider Name | Brandon Howard Morehead |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063088300 PECOS PAC ID: 7618404831 Enrollment ID: I20241227002961 |
| Provider Name | Kelsey Colley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457865370 PECOS PAC ID: 6800144585 Enrollment ID: I20250121002918 |
| Provider Name | James Clayton Vertrees |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972276913 PECOS PAC ID: 5698205672 Enrollment ID: I20250205003151 |
| Provider Name | Samuel Keith Kelley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154368199 PECOS PAC ID: 7810889813 Enrollment ID: I20250501000574 |
| Provider Name | Elizabeth Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871305144 PECOS PAC ID: 0840710737 Enrollment ID: I20250820003584 |
Summit Mental Wellness and Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4630 Village Square Dr, Suite 202, Paducah, KY 42001 Phone: 270-777-4490 Fax: 866-824-4022 |
Laurie K. Ballew Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 657 Lone Oak Rd Ste 2, Paducah, KY 42003 Phone: 270-558-4174 Fax: 270-534-5753 |
Divine Transitions LLC Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 131 Nahm St Ste 9, Paducah, KY 42001 Phone: 270-625-5005 Fax: 270-713-0638 |
Psychological Associates of Paducah, Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2315 Broadway St, Paducah, KY 42001 Phone: 270-442-8785 Fax: 270-443-1784 |
Millstone Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4001 Hansen Rd, Paducah, KY 42001 Phone: 270-554-9216 Fax: 270-554-8732 |
Integrated Psychological Services LLC Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 413 Broadway St Unit A, Paducah, KY 42001 Phone: 618-727-1913 |