Alisha Marie Moore, LPCC | |
3701 Lansdowne Drive, Ashland, Ashland, KY 41102 | |
(606) 324-3005 | |
(606) 329-1530 |
Full Name | Alisha Marie Moore |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 3701 Lansdowne Drive, Ashland, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114030822 | NPI | - | NPPES |
11754980 | Other | CAQH | |
000000321261 | Other | ANTHEM BCBS | |
7100283580 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 105832 (Kentucky) | Primary |
Entity Name | Pathways Inc |
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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 |
---|---|
Alisha Marie Moore, LPCC Po Box 790, Ashland, Ashland, KY 41105-0790 Ph: (606) 329-8588 | Alisha Marie Moore, LPCC 3701 Lansdowne Drive, Ashland, Ashland, KY 41102 Ph: (606) 324-3005 |
Brandi Dunn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3701 Landsdowne Dr, Ashland, KY 41102 Phone: 606-324-3005 Fax: 606-329-1530 | |
Kenneth Kennedy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 22nd St, Ashland, KY 41101 Phone: 606-324-1141 | |
Ashley Hamm, MHA INTERN Counselor Medicare: Not Enrolled in Medicare Practice Location: 3701 Landsdowne Dr, Ashland, KY 41102 Phone: 606-324-3005 Fax: 606-329-1530 | |
Melissa Fannin, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3701 Lansdowne Dr, Ashland, KY 41102 Phone: 606-324-3005 Fax: 606-329-1530 | |
Cynthia Lynn Barker, L.P.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 10730 Midland Trail Rd, Ashland, KY 41102 Phone: 606-928-0150 | |
Michelle Horton, PSS Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 22nd St, Ashland, KY 41101 Phone: 606-324-1141 Fax: 606-325-2525 | |
Brittany Winters, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3701 Landsdowne Dr, Ashland, KY 41102 Phone: 606-324-3005 Fax: 606-329-8850 |