Leann Detherage, LPCA - Counselor in Loretto, KY

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Leann Detherage, LPCA is a Nurse Practitioner - Psychiatric/mental Health based in Loretto, Kentucky. Leann Detherage is licensed to practice in Kentucky (license number 6254P) and her current practice location is 3244 Wimsatt Road, Loretto, Kentucky. She can be reached at her office (for appointments etc.) via phone at (270) 699-1811.

NPI number for Leann Detherage is 1477886380 and her current mailing address is Po Box 105, Loretto, Kentucky. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477886380.

Contact Information

Leann Detherage, LPCA
3244 Wimsatt Road,
Loretto, KY 40037
(270) 699-1811
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameLeann Detherage
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location3244 Wimsatt Road, Loretto, Kentucky
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1477886380
  • Provider Enumeration Date: 09/09/2009
  • Last Update Date: 12/04/2009

Medical Identifiers

Medical identifiers for Leann Detherage such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477886380NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor KY-0911 (Kentucky)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 6254P (Kentucky)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Leann Detherage is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Leann Detherage, LPCA
Po Box 105,
Loretto, KY 40037-0105

Ph: (270) 699-1811		Leann Detherage, LPCA
3244 Wimsatt Road,
Loretto, KY 40037

Ph: (270) 699-1811

Reviews and Comments


Nurse Practitioner in Loretto, KY


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