Lisa Jeanell Taylor, LPCC | |
9 Waveland Ave, Winchester, KY 40391-1231 | |
(877) 823-8375 | |
Not Available |
Full Name | Lisa Jeanell Taylor |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 9 Waveland Ave, Winchester, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245760826 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 104532 (Kentucky) | Secondary |
101YM0800X | Counselor - Mental Health | 104532 (Kentucky) | Primary |
Entity Name | Northern Kentucky Mental Health Mental Retardation Regional Board |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578527610 PECOS PAC ID: 3870584683 Enrollment ID: O20040520000973 |
Mailing Address | Practice Location Address |
---|---|
Lisa Jeanell Taylor, LPCC 928 Idlewild Ct, Lexington, KY 40505-3634 Ph: (859) 338-7815 | Lisa Jeanell Taylor, LPCC 9 Waveland Ave, Winchester, KY 40391-1231 Ph: (877) 823-8375 |
Cynthia Louise Whiteside, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 7 Waveland Ave, Winchester, KY 40391 Phone: 859-385-4669 | |
Mrs. Michelle D Sames, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 W Broadway St, Winchester, KY 40391 Phone: 859-385-4669 Fax: 859-201-1450 | |
Jacob Hurd, Counselor Medicare: Medicare Enrolled Practice Location: 7 Waveland Ave, Winchester, KY 40391 Phone: 859-385-4669 Fax: 859-201-1450 | |
Sarah Slone, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9 Waveland Ave, Winchester, KY 40391 Phone: 855-584-5845 | |
Taria Booker, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 850 Bypass Rd, Winchester, KY 40391 Phone: 859-398-3725 | |
William Derenge, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7 Waveland Ave, Winchester, KY 40391 Phone: 859-385-4669 |