Matthew Mayes, LPCC | |
112 W High St, Lexington, KY 40507-1826 | |
(859) 523-3009 | |
(859) 523-5007 |
Full Name | Matthew Mayes |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 112 W High St, Lexington, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811658693 | NPI | - | NPPES |
7100791810 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 274954 (Kentucky) | Primary |
Entity Name | Beall Recovery Clinics |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356997449 PECOS PAC ID: 2062845902 Enrollment ID: O20191205003050 |
Mailing Address | Practice Location Address |
---|---|
Matthew Mayes, LPCC 1145 W Lexington Ave Ste C, Winchester, KY 40391-1290 Ph: (859) 385-4093 | Matthew Mayes, LPCC 112 W High St, Lexington, KY 40507-1826 Ph: (859) 523-3009 |
Sarah E Ford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1351 Newtown Pike, Lexington, KY 40511 Phone: 859-253-1686 | |
Michael S Stratton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1351 Newtown Pike, Lexington, KY 40511 Phone: 859-253-1686 | |
Martin Bennett Hundley, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 274 Southland Dr # 204, Lexington, KY 40503 Phone: 859-278-3456 | |
Tiffany Morgan Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1351 Newtown Pike Bldg 1, Lexington, KY 40511 Phone: 589-253-1686 | |
Teonna Wilson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1351 Newtown Pike, Lexington, KY 40511 Phone: 859-253-1686 | |
Mr. Andre Riddick Sr., LPCC Counselor Medicare: Medicare Enrolled Practice Location: 1301 Winchester Rd Ste 147, Lexington, KY 40505 Phone: 859-991-0710 Fax: 859-309-1791 | |
Ms. Terri J Powell, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 845 Lane Allen Rd, Suite B-5, Lexington, KY 40504 Phone: 859-373-0572 Fax: 859-373-0572 |