| Whitsell Counseling & Supervision | |
|
416 S 4th St Ste 1 Danville KY 40422-2085 | |
| (859) 339-0582 | |
| (859) 236-0854 |
| Full Name | Whitsell Counseling & Supervision |
|---|---|
| Speciality | Social Worker |
| Location | 416 S 4th St Ste 1, Danville, Kentucky |
| Authorized Official Name and Position | Christopher Dean Whitsell (OWNER) |
| Authorized Official Contact | 8593390582 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Whitsell Counseling & Supervision 116 Angela Dr Danville KY 40422-1073 Ph: (859) 339-0582 | Whitsell Counseling & Supervision 416 S 4th St Ste 1 Danville KY 40422-2085 Ph: (859) 339-0582 |
| NPI Number | 1700357050 |
|---|---|
| Provider Enumeration Date | 12/16/2018 |
| Last Update Date | 04/27/2022 |
| Certification Date | 04/27/2022 |
| Medicare PECOS PAC ID | 8527447804 |
|---|---|
| Medicare Enrollment ID | O20220616000452 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700357050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Christopher D Whitsell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871649871 PECOS PAC ID: 2567477912 Enrollment ID: I20060207000506 |
| Provider Name | Ashley Renee Arnold |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225795602 PECOS PAC ID: 1759762271 Enrollment ID: I20220714003558 |
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