Diana Thornberry, | |
664 Slate Ave, Owingsville, KY 40360-2206 | |
(606) 233-1955 | |
Not Available |
Full Name | Diana Thornberry |
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Gender | Female |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 664 Slate Ave, Owingsville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396231403 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 283235 (Kentucky) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 271562 (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 |
---|---|
Diana Thornberry, Po Box 790, Ashland, KY 41105-0790 Ph: (606) 329-8588 | Diana Thornberry, 664 Slate Ave, Owingsville, KY 40360-2206 Ph: (606) 233-1955 |
Amy Piercy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 664 Slate Ave, Owingsville, KY 40360 Phone: 606-674-6690 Fax: 606-674-6903 | |
Anthony Wayne Deveraux, P.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 664 Slate Avenue, Owingsville, KY 40360 Phone: 606-674-6690 Fax: 606-674-6903 | |
Kayla Semones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 664 Slate Ave, Owingsville, KY 40360 Phone: 606-329-8588 Fax: 606-329-8195 | |
Hollie M Rasche, Counselor Medicare: Not Enrolled in Medicare Practice Location: 664 Slate Ave, Owingsville, KY 40371 Phone: 606-674-6690 Fax: 606-674-6903 | |
Kasey Denton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 664 Slate Ave, Owingsville, KY 40360 Phone: 606-674-6690 | |
Emily Larson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 664 Slate Ave, Owingsville, KY 40360 Phone: 606-674-6903 |