Kathy Oakley-taitt, CADC | |
3500 Villa Pt Ste 110, Owensboro, KY 42303-7826 | |
(270) 228-2368 | |
(270) 478-4926 |
Full Name | Kathy Oakley-taitt |
---|---|
Gender | Female |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 3500 Villa Pt Ste 110, Owensboro, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871811638 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 172723 (Kentucky) | Primary |
Entity Name | Cleanslate Medical Group Of Kentucky Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538600630 PECOS PAC ID: 4486909769 Enrollment ID: O20180611002156 |
Mailing Address | Practice Location Address |
---|---|
Kathy Oakley-taitt, CADC 3500 Villa Pt Ste 110, Owensboro, KY 42303-7826 Ph: (270) 228-2368 | Kathy Oakley-taitt, CADC 3500 Villa Pt Ste 110, Owensboro, KY 42303-7826 Ph: (270) 228-2368 |
Mallory Rose Lutes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1100 Walnut St, Owensboro, KY 42301 Phone: 270-689-6681 | |
Catherine Kane, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 Frederica St Ste 406, Owensboro, KY 42301 Phone: 270-689-0073 | |
Amanda Dillow, MA, NCC, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 920 Frederica St Ste 309, Owensboro, KY 42301 Phone: 270-316-3303 | |
Ms. Marissa Hubert, LCSW, CADC Counselor Medicare: Medicare Enrolled Practice Location: 1401 Spring Bank Dr., Bldg. C, Suite 7, Owensboro, KY 42303 Phone: 812-453-8543 Fax: 270-685-6510 | |
Mr. Gregory Lee Baize Sr., M.PSYCH. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2400 Friendship Drive, Suite B, Ronald Logsdon Community Center At Presidents Place, Owensboro, KY 42303 Phone: 270-852-6516 Fax: 270-683-9771 | |
Joshua Michael Hopkins, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 Industrial Dr, Owensboro, KY 42301 Phone: 270-689-6500 | |
John Swinford, LCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4505 Lucky Strike Loop, Owensboro, KY 42303 Phone: 270-240-4892 |