Angie Denise King, MED, LPCC | |
1203 American Greeting Card Rd, Corbin, KY 40701-4811 | |
(606) 528-7010 | |
Not Available |
Full Name | Angie Denise King |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1203 American Greeting Card Rd, Corbin, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063644508 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 243797 (Kentucky) | Primary |
Entity Name | Grace Community Health Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568625648 PECOS PAC ID: 3870654064 Enrollment ID: O20081211000571 |
Mailing Address | Practice Location Address |
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Angie Denise King, MED, LPCC 600 Monticello St Ste 2, Somerset, KY 42501-2974 Ph: (606) 401-2966 | Angie Denise King, MED, LPCC 1203 American Greeting Card Rd, Corbin, KY 40701-4811 Ph: (606) 528-7010 |
Thanh N Helton, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 1203 American Greeting Card Rd, Corbin, KY 40701 Phone: 606-528-7010 | |
Ashley Blair Freeman, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1203 American Greeting Card Rd, Corbin, KY 40701 Phone: 606-528-7010 | |
Ms. Maleah Allise Roberts, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1203 American Greeting Card Rd, Corbin, KY 40701 Phone: 606-528-7010 | |
Crystal Dale Neufeld, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1203 American Greeting Card Rd, Corbin, KY 40701 Phone: 606-528-7010 | |
Mrs. Kelli Breanne Cornett, BSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1203 American Greeting Rd, Corbin, KY 40701 Phone: 606-528-7010 | |
Lesley Anne Frazier, BS Counselor Medicare: Medicare Enrolled Practice Location: 1203 American Greeting Card Rd, Corbin, KY 40701 Phone: 606-528-7010 | |
Mr. Matthew David Mountjoy, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1019 Cumberland Falls Hwy Ste B201, Corbin, KY 40701 Phone: 606-528-2124 |