| Silver Lining Counseling and Mediation, LLC | |
|
110 E Main St Ste 103 Georgetown KY 40324-1780 | |
| (502) 709-9050 | |
| Not Available |
| Full Name | Silver Lining Counseling and Mediation, LLC |
|---|---|
| Speciality | Counselor |
| Location | 110 E Main St Ste 103, Georgetown, Kentucky |
| Authorized Official Name and Position | Tonya R. Branham (OWNER) |
| Authorized Official Contact | 8595336366 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Silver Lining Counseling and Mediation, LLC 110 E Main St Ste 103 Georgetown KY 40324-1780 | Silver Lining Counseling and Mediation, LLC 110 E Main St Ste 103 Georgetown KY 40324-1780 Ph: (502) 709-9050 |
| NPI Number | 1790361962 |
|---|---|
| Provider Enumeration Date | 03/19/2021 |
| Last Update Date | 05/17/2024 |
| Certification Date | 05/17/2024 |
| Medicare PECOS PAC ID | 9234515180 |
|---|---|
| Medicare Enrollment ID | O20240523002677 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790361962 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | () | Secondary |
| 101YP2500X | Counselor - Professional | () | Primary |
| Provider Name | Tonya R Branham |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295356657 PECOS PAC ID: 0143606095 Enrollment ID: I20240730003516 |
| Provider Name | Patrick R Young |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770004533 PECOS PAC ID: 9931620275 Enrollment ID: I20250304000602 |
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