Kimberly Paul, MED, LPCC | |
120 W Stephen Foster Ave Ste 100, Bardstown, KY 40004-1457 | |
(502) 472-7293 | |
(502) 690-4500 |
Full Name | Kimberly Paul |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 120 W Stephen Foster Ave Ste 100, Bardstown, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629542410 | NPI | - | NPPES |
7100804460 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (Kentucky) | Primary |
Entity Name | Mandala House, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659829760 PECOS PAC ID: 4789957135 Enrollment ID: O20170906002088 |
Mailing Address | Practice Location Address |
---|---|
Kimberly Paul, MED, LPCC 2124 Bogard Ln, Mount Washington, KY 40047-5746 Ph: () - | Kimberly Paul, MED, LPCC 120 W Stephen Foster Ave Ste 100, Bardstown, KY 40004-1457 Ph: (502) 472-7293 |
Julie Carmen Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 Sapphire Ct, Bardstown, KY 40004 Phone: 502-827-9736 | |
Deborah Jean Hughes, MHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 331 S 3rd St, Bardstown, KY 40004 Phone: 502-348-9206 Fax: 502-348-6485 | |
Elise Nicole Ballard, MHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 331 S 3rd St, Bardstown, KY 40004 Phone: 502-348-9206 Fax: 270-234-8572 | |
Dr. Mary Therese O'neil, PSY.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 311 South Third Street, Bardstown, KY 40004 Phone: 270-765-2605 | |
Mrs. Erin Elizabeth Lewis, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 1013 Granite Dr, Bardstown, KY 40004 Phone: 502-349-3100 Fax: 502-349-3169 | |
Rebecca D Rattray, Counselor Medicare: Not Enrolled in Medicare Practice Location: 331 S 3rd St, Bardstown, KY 40004 Phone: 502-348-9206 Fax: 502-348-6485 | |
Jessica Ann Masterson, MCMHC, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 S 5th St, Bardstown, KY 40004 Phone: 502-663-5965 |