| Ms Lucille Lee Mcmichael, LCSW | |
|
1830 Destiny Ln 112, Bowling Green, KY 42104-1089 | |
| (270) 746-9995 | |
| (270) 393-9001 |
| Full Name | Ms Lucille Lee Mcmichael |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1830 Destiny Ln 112, Bowling Green, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801033980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 3277 (Kentucky) | Primary |
| Entity Name | Pike Road Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437681814 PECOS PAC ID: 3476998329 Enrollment ID: O20240301000017 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Lucille Lee Mcmichael, LCSW 1830 Destiny Ln, Suite 112, Bowling Green, KY 42104-1087 Ph: (270) 779-7312 | Ms Lucille Lee Mcmichael, LCSW 1830 Destiny Ln 112, Bowling Green, KY 42104-1089 Ph: (270) 746-9995 |
Rebecca Woodrow, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1910 Lyda Ave, Bowling Green, KY 42104 Phone: 270-904-6567 Fax: 270-904-6570 | |
Mr. David Robert Rupsch Ii, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 996 Wilkinson Trce, Suite A-4, Bowling Green, KY 42103 Phone: 270-904-1072 Fax: 270-904-1073 | |
Kelly R Foust, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2815 Russellville Rd, Bowling Green, KY 42101 Phone: 270-883-1109 | |
Carolyn Kates-glass, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1830 Destiny Ln, Suite 112, Bowling Green, KY 42104 Phone: 270-392-5531 Fax: 270-393-9011 | |
Chelsey Reeves, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 380 Suwannee Trail St, Bowling Green, KY 42103 Phone: 270-901-5000 Fax: 270-842-5268 | |
Londa Stockton, CSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 380 Suwannee Trail St, Bowling Green, KY 42103 Phone: 270-901-5000 Fax: 270-842-5268 | |
Robert Justin Edmunds, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 600 Us 31w Byp, Bowling Green, KY 42101 Phone: 270-782-0120 |