Laura Bush, LPCC | |
433 Shelton Ln, Russellville, KY 42276-7600 | |
(270) 901-5000 | |
Not Available |
Full Name | Laura Bush |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 433 Shelton Ln, Russellville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457627473 | NPI | - | NPPES |
7100334770 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | 161532 (Kentucky) | Primary |
Entity Name | Lifeskills, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669401816 PECOS PAC ID: 8820902638 Enrollment ID: O20031117000330 |
Mailing Address | Practice Location Address |
---|---|
Laura Bush, LPCC 380 Suwannee Trail St, Bowling Green, KY 42103-7956 Ph: (270) 901-5000 | Laura Bush, LPCC 433 Shelton Ln, Russellville, KY 42276-7600 Ph: (270) 901-5000 |
Allen Smith, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 237 E 6th St, Russellville, KY 42276 Phone: 270-726-3629 Fax: 270-726-3115 | |
Katelyn Wentworth, Counselor Medicare: Not Enrolled in Medicare Practice Location: 433 Shelton Ln, Russellville, KY 42276 Phone: 270-901-5000 | |
Mrs. Julie Hicks Johnson, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 151 W 5th St, Russellville, KY 42276 Phone: 270-731-0000 Fax: 270-731-0001 | |
Cynthia Hanson, BHS Counselor Medicare: Not Enrolled in Medicare Practice Location: 237 E 6th St, Russellville, KY 42276 Phone: 270-726-3629 Fax: 270-726-3620 | |
Sierra Cheyene Tromsness, Counselor Medicare: Not Enrolled in Medicare Practice Location: 433 Shelton Ln, Russellville, KY 42276 Phone: 270-901-5000 | |
Joe V Massa, LPA Counselor Medicare: Not Enrolled in Medicare Practice Location: 237 E 6th St, Russellville, KY 42276 Phone: 270-726-3629 Fax: 270-726-3620 |