| Groundwork Counseling LLC | |
|
1107 Indian Mound Dr Ste D Mt Sterling KY 40353-1300 | |
| (859) 432-1064 | |
| Not Available |
| Full Name | Groundwork Counseling LLC |
|---|---|
| Speciality | Counselor |
| Location | 1107 Indian Mound Dr Ste D, Mt Sterling, Kentucky |
| Authorized Official Name and Position | Kathy Lewis (OWNER/THERAPIST) |
| Authorized Official Contact | 8594046074 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Groundwork Counseling LLC 1107 Indian Mound Dr Ste D Mt Sterling KY 40353-1300 Ph: (859) 432-1064 | Groundwork Counseling LLC 1107 Indian Mound Dr Ste D Mt Sterling KY 40353-1300 Ph: (859) 432-1064 |
| NPI Number | 1447973292 |
|---|---|
| Provider Enumeration Date | 09/26/2022 |
| Last Update Date | 02/26/2025 |
| Certification Date | 02/26/2025 |
| Medicare PECOS PAC ID | 8022594043 |
|---|---|
| Medicare Enrollment ID | O20260109000960 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447973292 | NPI | - | NPPES |
| 1790731081 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (NU) | Primary |
| Provider Name | Kathy Renae Lewis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285134692 PECOS PAC ID: 9931685955 Enrollment ID: I20260109001132 |
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