Cassie Tavares, LPCC, NCC | |
233 N Townsend St, Morganfield, KY 42437 | |
(270) 389-3240 | |
Not Available |
Full Name | Cassie Tavares |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 233 N Townsend St, Morganfield, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1750800322 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | 162895 (Kentucky) | Primary |
Entity Name | Green River Regional Mental Health/mental Retardation Board, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285689711 PECOS PAC ID: 4082522396 Enrollment ID: O20040121000007 |
Mailing Address | Practice Location Address |
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Cassie Tavares, LPCC, NCC 233 N Townsend St, Morganfield, KY 42437-1436 Ph: (270) 389-3240 | Cassie Tavares, LPCC, NCC 233 N Townsend St, Morganfield, KY 42437 Ph: (270) 389-3240 |
Wendy Elizabeth Wilson, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 111 S Morgan St, Morganfield, KY 42437 Phone: 270-285-9023 Fax: 270-285-9037 | |
Malorey Gray, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 S Morgan St, Morganfield, KY 42437 Phone: 270-285-9023 Fax: 270-285-9037 | |
Mrs. Jillian Michael Humphrey, BCBA Counselor Medicare: Not Enrolled in Medicare Practice Location: 452 Goose Pond Rd, Morganfield, KY 42437 Phone: 270-285-2265 |