| Griffin Lyons Counseling Llc | |
|
306 W Main St Ste 501 Frankfort KY 40601-1895 | |
| (502) 385-2748 | |
| (502) 996-8400 |
| Full Name | Griffin Lyons Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 306 W Main St, Frankfort, Kentucky |
| Authorized Official Name and Position | William T Boddie (OWNER/CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 5023852748 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Griffin Lyons Counseling Llc 306 W Main St Ste 501 Frankfort KY 40601-1895 Ph: (502) 385-2748 | Griffin Lyons Counseling Llc 306 W Main St Ste 501 Frankfort KY 40601-1895 Ph: (502) 385-2748 |
| NPI Number | 1104272418 |
|---|---|
| Provider Enumeration Date | 05/05/2016 |
| Last Update Date | 08/03/2016 |
| Medicare PECOS PAC ID | 0749549483 |
|---|---|
| Medicare Enrollment ID | O20180125001729 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104272418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Willie Thomas Boddie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245510213 PECOS PAC ID: 1658630397 Enrollment ID: I20180125001816 |
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