Krystle D Miller, LPCC | |
158 Col Casey Drive, Columbia, KY 42728-5319 | |
(844) 435-0900 | |
(270) 858-4029 |
Full Name | Krystle D Miller |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 158 Col Casey Drive, Columbia, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679105845 | NPI | - | NPPES |
16074862 | Other | KY | CAQH |
7100941590 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 288498 (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 |
---|---|
Krystle D Miller, LPCC Po Box 1080, Burkesville, KY 42717-1080 Ph: (270) 858-6655 | Krystle D Miller, LPCC 158 Col Casey Drive, Columbia, KY 42728-5319 Ph: (844) 435-0900 |
Amanda Jobe, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 E Frazier Ave, Columbia, KY 42728 Phone: 270-384-4719 | |
Colbie Staten, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 E Frazier Ave, Columbia, KY 42728 Phone: 270-384-4719 | |
Dr. Tommie A Saragas, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Merchant St, Columbia, KY 42728 Phone: 606-273-8451 | |
Donna Agee, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 E Frazier Ave, Columbia, KY 42728 Phone: 270-384-4710 Fax: 270-384-4820 | |
Karen Pescosolido, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 E Frazier Ave, Columbia, KY 42728 Phone: 270-384-4719 | |
Savannah Morgan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 E Frazier Ave, Columbia, KY 42728 Phone: 270-384-4719 | |
Kirsty Chapman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 933 Russell Rd Ste 93, Columbia, KY 42728 Phone: 270-384-1736 |