Bethany Aleece Gibson Payton, LPCC | |
1311 N Dixie Hwy, Elizabethtown, KY 42701-2621 | |
(270) 769-1304 | |
(270) 234-8028 |
Full Name | Bethany Aleece Gibson Payton |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 1311 N Dixie Hwy, Elizabethtown, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891137717 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | 168175 (Kentucky) | Primary |
Entity Name | Astra Behavioral Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922427517 PECOS PAC ID: 0749406577 Enrollment ID: O20140730002637 |
Mailing Address | Practice Location Address |
---|---|
Bethany Aleece Gibson Payton, LPCC 151 Drexler Cir, Ste 1, Elizabethtown, KY 42701-7843 Ph: (270) 795-2605 | Bethany Aleece Gibson Payton, LPCC 1311 N Dixie Hwy, Elizabethtown, KY 42701-2621 Ph: (270) 769-1304 |
Venda Rogers Walter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 Cranes Roost Ct, Elizabethtown, KY 42701 Phone: 270-765-2605 | |
Rachel Ragin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 Cranes Roost Ct, Elizabethtown, KY 42701 Phone: 270-765-2605 | |
Stephanie Brooke Mace, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Diecks Dr, Elizabethtown, KY 42701 Phone: 270-238-1485 Fax: 270-900-1037 | |
Amy Dennis Jennings, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1311 N Dixie Ave Bldg B, Elizabethtown, KY 42701 Phone: 270-765-5145 Fax: 270-982-9209 | |
Stephen Walter Hill, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 Cranes Roost Ct, Elizabethtown, KY 42701 Phone: 270-765-2605 Fax: 270-234-0723 | |
Lori Tipple, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1105 Julianna Ct Ste 1, Elizabethtown, KY 42701 Phone: 270-769-3714 | |
Rebecca Chambers, LCSW; CADC Counselor Medicare: Accepting Medicare Assignments Practice Location: 151 Drexler Cir, Elizabethtown, KY 42701 Phone: 270-982-9495 |