| Michael David Shacklette, LPCC | |
|
512 Veterans Memorial Hwy, Scottsville, KY 42164-8443 | |
| (270) 901-5000 | |
| Not Available |
| Full Name | Michael David Shacklette |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 512 Veterans Memorial Hwy, Scottsville, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194217612 | NPI | - | NPPES |
| 7100878810 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Michael David Shacklette, LPCC 380 Suwannee Trail St, Bowling Green, KY 42103-7956 Ph: (270) 901-5000 | Michael David Shacklette, LPCC 512 Veterans Memorial Hwy, Scottsville, KY 42164-8443 Ph: (270) 901-5000 |
Gretchen Robinson, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 512 Veterans Memorial Hwy, Scottsville, KY 42164 Phone: 270-901-5000 Fax: 270-842-5268 | |
Stacey Anne Pearce, MS, LPC-MHSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 714 Cedar Hill Rd, Scottsville, KY 42164 Phone: 615-635-3980 | |
Lynne Brown, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 512 Bowling Green Rd, Scottsville, KY 42164 Phone: 270-237-4481 Fax: 270-237-4858 | |
Dennis Makokha, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 512 Bowling Green Rd, Scottsville, KY 42164 Phone: 270-237-4481 | |
Joshua Michael Hudson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 512 Veterans Memorial Hwy, Scottsville, KY 42164 Phone: 270-237-4481 Fax: 270-237-4858 | |
Geneva Bradshaw, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 49 Hillview Dr, Scottsville, KY 42164 Phone: 270-901-5000 |