Kristal Mullins, LPCC | |
6295 E Ky 70, Liberty, KY 42539-6762 | |
(844) 435-0900 | |
(270) 858-4029 |
Full Name | Kristal Mullins |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 6295 E Ky 70, Liberty, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003152257 | NPI | - | NPPES |
7100280340 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 104258 (Kentucky) | Primary |
Entity Name | Cumberland Family Medical Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306873500 PECOS PAC ID: 6305947789 Enrollment ID: O20120221000433 |
Mailing Address | Practice Location Address |
---|---|
Kristal Mullins, LPCC Po Box 1080, Burkesville, KY 42717-1080 Ph: (270) 858-6655 | Kristal Mullins, LPCC 6295 E Ky 70, Liberty, KY 42539-6762 Ph: (844) 435-0900 |
William Wethington, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 322 Middleburg Street, Liberty, KY 42539 Phone: 606-787-9472 Fax: 606-787-7344 | |
Jolene Blevins, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 322 Middleburg St, Liberty, KY 42539 Phone: 606-787-9472 | |
Sarah M Durham, LPCC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 75 College St, Liberty, KY 42539 Phone: 844-435-0900 Fax: 270-858-4029 | |
Emily J Klingensmith, LPCC Counselor Medicare: Medicare Enrolled Practice Location: Jones Park Elementary Healthy Kids Clinic 6295 E Ky 70, Liberty, KY 42539 Phone: 844-435-0900 | |
John W Weddle, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 322 Middleburg Street, Liberty, KY 42539 Phone: 606-787-9472 Fax: 606-787-7344 | |
Matana Poff, Counselor Medicare: Not Enrolled in Medicare Practice Location: 322 Middleburg Street, Liberty, KY 42539 Phone: 606-787-9472 |