Jacob Hurd, | |
7 Waveland Ave, Winchester, KY 40391-1231 | |
(859) 385-4669 | |
(859) 201-1450 |
Full Name | Jacob Hurd |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 7 Waveland Ave, Winchester, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063050128 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 263701 (Kentucky) | Primary |
Entity Name | Baptist Health Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518360296 PECOS PAC ID: 5597867184 Enrollment ID: O20150206000249 |
Mailing Address | Practice Location Address |
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Jacob Hurd, 7 Waveland Ave, Winchester, KY 40391-1231 Ph: (859) 385-4669 | Jacob Hurd, 7 Waveland Ave, Winchester, KY 40391-1231 Ph: (859) 385-4669 |
Cynthia Louise Whiteside, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 7 Waveland Ave, Winchester, KY 40391 Phone: 859-385-4669 | |
Mrs. Michelle D Sames, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 W Broadway St, Winchester, KY 40391 Phone: 859-385-4669 Fax: 859-201-1450 | |
Sarah Slone, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9 Waveland Ave, Winchester, KY 40391 Phone: 855-584-5845 | |
Taria Booker, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 850 Bypass Rd, Winchester, KY 40391 Phone: 859-398-3725 | |
Lisa Jeanell Taylor, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 9 Waveland Ave, Winchester, KY 40391 Phone: 877-823-8375 | |
William Derenge, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7 Waveland Ave, Winchester, KY 40391 Phone: 859-385-4669 |