Mandala Therapeutic Services - Mental Health Clinic in Russell, KY

Mandala Therapeutic Services is a mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Russell, Kentucky. The current practice location for Mandala Therapeutic Services is 314 Ferry St, Russell, Kentucky. For appointments, you can reach them via phone at (606) 203-2820. The mailing address for Mandala Therapeutic Services is 314 Ferry St, Russell, Kentucky and phone number is (606) 388-2898.

Mandala Therapeutic Services is licensed to practice in * (Not Available) (license number ) and its NPI number is 1053878413. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (606) 203-2820.

Contact Information

Mandala Therapeutic Services
314 Ferry St
Russell
KY 41169-1371
(606) 203-2820
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameMandala Therapeutic Services
SpecialityClinic/center - Mental Health (including Community Mental Health Center)
Location314 Ferry St, Russell, Kentucky
Authorized Official Name and PositionJennifer Smith (OWNER)
Authorized Official Contact6063882898
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mandala Therapeutic Services
314 Ferry St
Russell
KY 41169-1371

Ph: (606) 388-2898
Mandala Therapeutic Services
314 Ferry St
Russell
KY 41169-1371

Ph: (606) 203-2820

NPI Details:

NPI Number1053878413
Provider Enumeration Date02/21/2019
Last Update Date04/22/2024
Certification Date04/22/2024

Medical Identifiers

Medical identifiers for Mandala Therapeutic Services such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053878413NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
1041C0700XSocial Worker - Clinical (* (Not Available))Secondary
251B00000XCase Management (* (Not Available))Secondary
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (Not Available))Primary

Reviews and Comments

Clinic/Center in Russell, KY

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Phone: 606-388-4051    Fax: 606-388-4081
Lana J Davenport Md Plc
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Medicare: Not Enrolled in Medicare
Practice Location: 1451 Diederich Blvd, Russell, KY 41169
Phone: 606-547-4536    Fax: 866-511-5587

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.