Dr Angelia Shaw Bryant, NCC CCMHC CHT LPCC-S | |
2976 Highway 910, Suite B, Russell Springs, KY 42642-8963 | |
(270) 866-4753 | |
Not Available |
Full Name | Dr Angelia Shaw Bryant |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 2976 Highway 910, Russell Springs, 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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1770868234 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 103409 (Kentucky) | Secondary |
101YP2500X | Counselor - Professional | 0031 (Kentucky) | Primary |
Entity Name | Lake Cumberland Regional Mental Health Mental Retardation Board Inc . |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336172642 PECOS PAC ID: 3375536717 Enrollment ID: O20040403000092 |
Mailing Address | Practice Location Address |
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Dr Angelia Shaw Bryant, NCC CCMHC CHT LPCC-S 2976 Highway 910, Russell Springs, KY 42642-8963 Ph: (270) 566-1122 | Dr Angelia Shaw Bryant, NCC CCMHC CHT LPCC-S 2976 Highway 910, Suite B, Russell Springs, KY 42642-8963 Ph: (270) 866-4753 |
Robin Livers, LPCC; CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1442 W Steve Wariner Dr, Russell Springs, KY 42642 Phone: 270-866-4174 Fax: 270-819-4030 | |
Laura A Godby, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 2166 S Hwy 127, Russell Springs, KY 42642 Phone: 844-435-0900 Fax: 270-858-4029 | |
Mrs. Taylor Keltner, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1442 W Steve Wariner Dr, Russell Springs, KY 42642 Phone: 270-866-4147 | |
Anthony Ray Holmes, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 404 Steve Drive, Russell Springs, KY 42642 Phone: 270-866-3161 Fax: 270-866-3163 | |
Robin Duvall, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 2166 S Hwy 127, Russell Springs, KY 42642 Phone: 844-435-0900 Fax: 270-858-4029 | |
Mrs. Vickie Hadley, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2329 Lakeway Dr, Russell Springs, KY 42642 Phone: 270-866-9516 Fax: 270-866-9584 | |
Rhonda Dawn Begley, LPCC, TCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 703 E Steve Wariner Dr, Russell Springs, KY 42642 Phone: 502-373-0117 Fax: 270-866-4022 |