| Misti Marie Holbrook, LPP | |
|
321 E Main St, Morehead, KY 40351-1671 | |
| (606) 784-4161 | |
| (606) 783-9952 |
| Full Name | Misti Marie Holbrook |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 321 E Main St, Morehead, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154333938 | NPI | - | NPPES |
| 11717037 | Other | CAQH | |
| 000000226450 NONPAR | Other | ANTHEM BCBS | |
| 7100283710 | Medicaid | KY | |
| 9488279 | Other | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 115956 (Kentucky) | Primary |
| Entity Name | Pathways Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982615043 PECOS PAC ID: 1254239171 Enrollment ID: O20031230000043 |
| Mailing Address | Practice Location Address |
|---|---|
| Misti Marie Holbrook, LPP Po Box 790, Ashland, KY 41105-0790 Ph: (606) 329-8588 | Misti Marie Holbrook, LPP 321 E Main St, Morehead, KY 40351-1671 Ph: (606) 784-4161 |
Velma Lee Campbell, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 112 Allie Young Hall, Msu Caudill Health Clinic, Morehead, KY 40351 Phone: 606-783-2055 Fax: 606-783-6877 | |
Cassiah Armitage, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 325 E Main St, Morehead, KY 40351 Phone: 606-784-4161 Fax: 606-784-2379 | |
Mark D Sparkman, P.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 321 E Main St, Morehead, KY 40351 Phone: 606-784-4161 Fax: 606-783-9952 | |
Kimberly Meade, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 321 E Main St, Morehead, KY 40351 Phone: 866-233-1955 | |
Michelle Webb, PA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 321 E Main St, Morehead, KY 40351 Phone: 606-329-8588 Fax: 606-329-8195 | |
Catherine Hyden, LPA Psychologist Medicare: Medicare Enrolled Practice Location: 321 E Main St, Morehead, KY 40351 Phone: 606-784-4161 Fax: 606-783-9952 |