Jodie R Ellsworth, LPCC | |
510 Ruby Dr, Madisonville, KY 42431-2168 | |
(270) 399-7900 | |
(270) 399-7910 |
Full Name | Jodie R Ellsworth |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 510 Ruby Dr, Madisonville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730714460 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 262220 (Kentucky) | Primary |
Entity Name | Owensboro Health Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235518242 PECOS PAC ID: 0648255034 Enrollment ID: O20040621000818 |
Mailing Address | Practice Location Address |
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Jodie R Ellsworth, LPCC Po Box 23229, Owensboro, KY 42304-3229 Ph: (270) 688-1330 | Jodie R Ellsworth, LPCC 510 Ruby Dr, Madisonville, KY 42431-2168 Ph: (270) 399-7900 |
Doris G Murray, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9 E Arch St, Madisonville, KY 42431 Phone: 833-510-4357 | |
Ms. Stephanie Faith Brewster, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1079 Thornberry Dr, Suite D, Madisonville, KY 42431 Phone: 270-874-2560 | |
Creasha King, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1079 Thornberry Dr Ste B, Madisonville, KY 42431 Phone: 270-825-1698 | |
Rachel Elizabeth Vaughan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Clinic Dr, Madisonville, KY 42431 Phone: 270-821-8874 | |
Mr. Dane Justin Tosh, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1079 Thornberry Dr Ste 203, Madisonville, KY 42431 Phone: 270-874-2560 Fax: 270-825-8081 | |
Candida Phelps, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Clinic Dr, Madisonville, KY 42431 Phone: 270-821-8874 Fax: 270-821-8883 | |
Ms. Shellie Gary-cheirs, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 108 South Main Street, Suite 104, Madisonville, KY 42431 Phone: 270-681-2273 |