| Resurrection Treatment Clinics Llc | |
|
1718 Alexandria Dr Suite 101 Lexington KY 40504-3144 | |
| (859) 983-0678 | |
| (859) 263-1312 |
| Full Name | Resurrection Treatment Clinics Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1718 Alexandria Dr, Lexington, Kentucky |
| Authorized Official Name and Position | Lawrence York (OWNER) |
| Authorized Official Contact | 8592761015 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Resurrection Treatment Clinics Llc 7145 E Virginia St Ste 2000 Evansville IN 47715-9147 Ph: (812) 962-7894 | Resurrection Treatment Clinics Llc 1718 Alexandria Dr Suite 101 Lexington KY 40504-3144 Ph: (859) 983-0678 |
| NPI Number | 1548633415 |
|---|---|
| Provider Enumeration Date | 11/02/2015 |
| Last Update Date | 10/09/2024 |
| Certification Date | 10/09/2024 |
| Medicare PECOS PAC ID | 5991009755 |
|---|---|
| Medicare Enrollment ID | O20160215002555 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548633415 | NPI | - | NPPES |
| 7100382530 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 207RA0401X | Internal Medicine - Addiction Medicine | (* (Not Available)) | Primary |
| Provider Name | Jill Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235114877 PECOS PAC ID: 8224025564 Enrollment ID: I20040428000719 |
| Provider Name | John E Pappas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922219294 PECOS PAC ID: 0042341158 Enrollment ID: I20100706000079 |
| Provider Name | Lisa G Highland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053757591 PECOS PAC ID: 2062654007 Enrollment ID: I20130805000264 |
| Provider Name | Victoria L Ewing |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659420768 PECOS PAC ID: 4082856703 Enrollment ID: I20130808000966 |
| Provider Name | Lauren M Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922446210 PECOS PAC ID: 5698909570 Enrollment ID: I20170215001559 |
| Provider Name | Crystal Jane Humphries |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962929307 PECOS PAC ID: 9133493489 Enrollment ID: I20170925003424 |
| Provider Name | Megan B Begley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124312780 PECOS PAC ID: 4082974118 Enrollment ID: I20180208002649 |
| Provider Name | Linda Russell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376934869 PECOS PAC ID: 6901227172 Enrollment ID: I20200527001278 |
| Provider Name | Natalie Dolan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619640133 PECOS PAC ID: 6709275571 Enrollment ID: I20211116003130 |
Alexander J. Tikhtman, M.d., P.s.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1517 Nicholasville Rd, Suite 403, Lexington, KY 40503 Phone: 859-276-6168 Fax: 859-276-0850 | |
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Thomas-peeples & Associates, Psc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 Dennis Dr, Lexington, KY 40503 Phone: 859-278-4775 Fax: 859-373-0018 | |
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Momo Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 162 Glenn Pl, Lexington, KY 40505 Phone: 502-509-9436 | |
Andre N. Fernandez Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Darby Creek Rd, Suite 21, Lexington, KY 40509 Phone: 859-263-9305 Fax: 859-264-1169 | |
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