| Mending Minds, Llc | |
|
434 Liberty St Hartford KY 42347-1121 | |
| (270) 504-0068 | |
| (270) 298-8717 |
| Full Name | Mending Minds, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 434 Liberty St, Hartford, Kentucky |
| Authorized Official Name and Position | Ashley Davis (THERAPIST/OWNER) |
| Authorized Official Contact | 2702562239 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mending Minds, Llc Po Box 575 Hartford KY 42347-0575 Ph: (270) 256-2239 | Mending Minds, Llc 434 Liberty St Hartford KY 42347-1121 Ph: (270) 504-0068 |
| NPI Number | 1528601705 |
|---|---|
| Provider Enumeration Date | 10/21/2019 |
| Last Update Date | 05/03/2024 |
| Certification Date | 05/03/2024 |
| Medicare PECOS PAC ID | 6901233691 |
|---|---|
| Medicare Enrollment ID | O20200218002172 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528601705 | NPI | - | NPPES |
| 7100440040 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Ashley S Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528473014 PECOS PAC ID: 6901183250 Enrollment ID: I20170515002036 |
Wilkey Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 434 Liberty St, Hartford, KY 42347 Phone: 270-504-0068 Fax: 270-298-8717 | |
Sabrina L. West, Lcsw Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 121 Apple Aly, Hartford, KY 42347 Phone: 270-298-0088 | |
Holly Benningfield, Ma, Lpca Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 E Mcmurtry Ave, Ste 107, Hartford, KY 42347 Phone: 270-298-3461 Fax: 844-411-6066 | |
Ky Counseling Partners Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 434 Liberty St, Hartford, KY 42347 Phone: 270-504-0068 Fax: 270-298-8717 |