| Passages Of Kentucky | |
|
801 Tennessee Rd Ste J Albany KY 42602-1074 | |
| (606) 387-0794 | |
| Not Available |
| Full Name | Passages Of Kentucky |
|---|---|
| Speciality | Counselor |
| Location | 801 Tennessee Rd Ste J, Albany, Kentucky |
| Authorized Official Name and Position | Angela Tucker (OWNER) |
| Authorized Official Contact | 6063870291 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Passages Of Kentucky 801 Tennessee Rd Ste J Albany KY 42602-1074 Ph: (606) 387-0794 | Passages Of Kentucky 801 Tennessee Rd Ste J Albany KY 42602-1074 Ph: (606) 387-0794 |
| NPI Number | 1093184947 |
|---|---|
| Provider Enumeration Date | 09/22/2015 |
| Last Update Date | 12/20/2024 |
| Certification Date | 12/20/2024 |
| Medicare PECOS PAC ID | 7113456773 |
|---|---|
| Medicare Enrollment ID | O20250128000295 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093184947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1009 (Kentucky) | Primary |
| Provider Name | Jennifer A Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588219984 PECOS PAC ID: 3577892348 Enrollment ID: I20190904003331 |
| Provider Name | Angela Tucker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447671284 PECOS PAC ID: 8022547686 Enrollment ID: I20250128000422 |
Clearer Minds Mental Health Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 801 Tennessee Rd Ste L, Albany, KY 42602 Phone: 606-306-4256 |