| Good Counsel, LLC | |
|
845 Lane Allen Rd Suite B5 Lexington KY 40504-3606 | |
| (859) 373-0572 | |
| (859) 278-5899 |
| Full Name | Good Counsel, LLC |
|---|---|
| Speciality | Social Worker |
| Location | 845 Lane Allen Rd, Lexington, Kentucky |
| Authorized Official Name and Position | Terri Powell (OWNER) |
| Authorized Official Contact | 8593331299 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Counsel, LLC 845 Lane Allen Rd Suite B5 Lexington KY 40504-3606 Ph: (859) 373-0572 | Good Counsel, LLC 845 Lane Allen Rd Suite B5 Lexington KY 40504-3606 Ph: (859) 373-0572 |
| NPI Number | 1144848151 |
|---|---|
| Provider Enumeration Date | 07/07/2020 |
| Last Update Date | 10/02/2020 |
| Certification Date | 10/02/2020 |
| Medicare PECOS PAC ID | 5698191633 |
|---|---|
| Medicare Enrollment ID | O20200820002150 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144848151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | () | Secondary |
| 101YM0800X | Counselor - Mental Health | () | Secondary |
| 1041C0700X | Social Worker - Clinical | () | Primary |
| Provider Name | Terri J Powell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003939653 PECOS PAC ID: 2062669302 Enrollment ID: I20120822000097 |
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