Kristy Macku, LMHC | |
1530 N Commerce W Dr, Greensburg, IN 47240-3205 | |
(812) 663-7057 | |
Not Available |
Full Name | Kristy Macku |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1530 N Commerce W Dr, Greensburg, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225252638 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | 39004096A (Indiana) | Primary |
Entity Name | Centerstone Of Indiana, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992781470 PECOS PAC ID: 9436138427 Enrollment ID: O20040830000711 |
Mailing Address | Practice Location Address |
---|---|
Kristy Macku, LMHC 645 S Rogers St, Bloomington, IN 47403-2353 Ph: (812) 339-1691 | Kristy Macku, LMHC 1530 N Commerce W Dr, Greensburg, IN 47240-3205 Ph: (812) 663-7057 |
Michael Miller, PHD, HSPP Counselor Medicare: Accepting Medicare Assignments Practice Location: 1530 N Commerce West Dr, Greensburg, IN 47240 Phone: 812-663-7057 Fax: 812-663-6735 | |
Jerry Davis, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 1530 Commerce Park West Drive, Greensburg, IN 47240 Phone: 812-663-7057 Fax: 812-378-8367 | |
Rachel Paige Schuck, Counselor Medicare: Not Enrolled in Medicare Practice Location: 905 W Keegans Way Ste 3, Greensburg, IN 47240 Phone: 812-200-2789 | |
Courtney Wittmer, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1530 Commerce Park Drive West, Greensburg, IN 47240 Phone: 812-663-7057 |