| Kentucky Counseling Associates, Llc | |
|
108 Saint Josephs Ct Danville KY 40422-1471 | |
| (606) 521-2100 | |
| Not Available |
| Full Name | Kentucky Counseling Associates, Llc |
|---|---|
| Speciality | Counselor |
| Location | 108 Saint Josephs Ct, Danville, Kentucky |
| Authorized Official Name and Position | Elizabeth Love (CLINICAL DIRECTOR) |
| Authorized Official Contact | 6065212100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kentucky Counseling Associates, Llc 108 Saint Josephs Ct Danville KY 40422-1471 Ph: () - | Kentucky Counseling Associates, Llc 108 Saint Josephs Ct Danville KY 40422-1471 Ph: (606) 521-2100 |
| NPI Number | 1750733010 |
|---|---|
| Provider Enumeration Date | 07/11/2016 |
| Last Update Date | 07/11/2016 |
| Medicare PECOS PAC ID | 7517202625 |
|---|---|
| Medicare Enrollment ID | O20181218002626 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750733010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 165498 (Kentucky) | Primary |
| Provider Name | Ray C Coates |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1346748035 PECOS PAC ID: 6901259134 Enrollment ID: I20240124002136 |
| Provider Name | Shelby Crisp |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902375868 PECOS PAC ID: 4587007869 Enrollment ID: I20240205001145 |
| Provider Name | Lyndsey Roe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467962894 PECOS PAC ID: 1557704764 Enrollment ID: I20240205002474 |
| Provider Name | Mary Pyles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619189131 PECOS PAC ID: 7719321819 Enrollment ID: I20240216001531 |
| Provider Name | Elizabeth Love |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184088890 PECOS PAC ID: 8426393539 Enrollment ID: I20241203001450 |
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