Angelyn Medley, LPCC | |
840 Interstate Dr, Grayson, KY 41143-1768 | |
(606) 329-8588 | |
(606) 329-8195 |
Full Name | Angelyn Medley |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 840 Interstate Dr, Grayson, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942749171 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 240248 (Kentucky) | Secondary |
101YP2500X | Counselor - Professional | 266703 (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 |
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Angelyn Medley, LPCC Po Box 790, Ashland, KY 41105-0790 Ph: (606) 329-8588 | Angelyn Medley, LPCC 840 Interstate Dr, Grayson, KY 41143-1768 Ph: (606) 329-8588 |
Kelly J Conley, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 59 Fivco Ct, Grayson, KY 41143 Phone: 606-928-4240 Fax: 606-928-4281 | |
Rachel James, Counselor Medicare: Not Enrolled in Medicare Practice Location: 840 Interstate Dr, Grayson, KY 41143 Phone: 606-474-5151 | |
Leandra Veillon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 515 W Main St, Grayson, KY 41143 Phone: 606-474-0025 Fax: 606-474-0025 | |
Kara Marsh, Counselor Medicare: Not Enrolled in Medicare Practice Location: 840 Interstate Dr, Grayson, KY 41143 Phone: 606-474-5151 | |
Karlena Evans, Counselor Medicare: Not Enrolled in Medicare Practice Location: 41 Cribbs Hl, Grayson, KY 41143 Phone: 606-475-0200 | |
Gara Wilson-casteel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 59 Fivco Ct, Grayson, KY 41143 Phone: 606-928-3341 Fax: 606-928-4281 | |
Johnny Mauk, Counselor Medicare: Not Enrolled in Medicare Practice Location: 515 W Main St, Grayson, KY 41143 Phone: 606-474-0025 |