| Passages Of Kentucky, Llc | |
|
45 Surrey Hill Rd Monticello KY 42633-2320 | |
| (606) 387-0291 | |
| (606) 387-0798 |
| Full Name | Passages Of Kentucky, Llc |
|---|---|
| Speciality | Counselor |
| Location | 45 Surrey Hill Rd, Monticello, Kentucky |
| Authorized Official Name and Position | Angela Elaine 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, Llc 45 Surrey Hill Rd Monticello KY 42633-2320 Ph: (606) 387-0291 | Passages Of Kentucky, Llc 45 Surrey Hill Rd Monticello KY 42633-2320 Ph: (606) 387-0291 |
| NPI Number | 1093184947 |
|---|---|
| Provider Enumeration Date | 09/22/2015 |
| Last Update Date | 10/06/2025 |
| Certification Date | 10/06/2025 |
| 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 |
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