Gwen Mcglone, | |
60 Professional Park Dr, Louisa, KY 41230 | |
(606) 638-4332 | |
(606) 638-4394 |
Full Name | Gwen Mcglone |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 60 Professional Park Dr, Louisa, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659424141 | NPI | - | NPPES |
30610026 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 103149 (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 |
---|---|
Gwen Mcglone, Po Box 790, Ashland, KY 41105-0790 Ph: (606) 329-8588 | Gwen Mcglone, 60 Professional Park Dr, Louisa, KY 41230 Ph: (606) 638-4332 |
Lois Michelle Hubbard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 S Main Cross St, Louisa, KY 41230 Phone: 606-638-0938 | |
Oma Hounshell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 60 Professional Park Dr, Louisa, KY 41230 Phone: 606-638-4332 Fax: 606-638-4394 | |
Charlotte Williamson, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 S Main Cross St, Louisa, KY 41230 Phone: 606-638-0938 | |
John Stephen Vickers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 S Main Cross St, Louisa, KY 41230 Phone: 606-638-0938 | |
Teddy Ralston, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 S Main Cross St, Louisa, KY 41230 Phone: 606-638-0938 Fax: 859-813-5394 | |
Shannon Hautala, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 S Main Cross St, Louisa, KY 41230 Phone: 606-638-0938 | |
Brandi Dawn Mayes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 S Main Cross St Ste 202, Louisa, KY 41230 Phone: 606-638-0938 |