Mikka Trent, | |
104 S Front Ave, Prestonsburg, KY 41653-1614 | |
(606) 886-8572 | |
(606) 886-4433 |
Full Name | Mikka Trent |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 104 S Front Ave, Prestonsburg, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164985123 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Kentucky River Community Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528017142 PECOS PAC ID: 3870481229 Enrollment ID: O20040308000506 |
Mailing Address | Practice Location Address |
---|---|
Mikka Trent, 104 S Front Ave, Prestonsburg, KY 41653-1614 Ph: (606) 886-8572 | Mikka Trent, 104 S Front Ave, Prestonsburg, KY 41653-1614 Ph: (606) 886-8572 |
Phillip Caudill, Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 S Front Ave, Prestonsburg, KY 41653 Phone: 606-886-8572 Fax: 606-886-4433 | |
Rachael Willoughby, Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 S Front Ave, Prestonsburg, KY 41653 Phone: 606-886-8572 Fax: 606-886-4433 | |
Brittany Sanders, Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 S Front Ave, Prestonsburg, KY 41653 Phone: 606-886-8572 Fax: 606-886-4433 | |
Donna Crider, Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 S Front Ave, Prestonsburg, KY 41653 Phone: 606-886-8572 Fax: 606-886-4433 | |
Chelsea Goble, Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 S Front Ave, Prestonsburg, KY 41653 Phone: 606-886-8572 Fax: 606-886-4433 | |
Sydney Smoot, Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 S Front Ave, Prestonsburg, KY 41653 Phone: 606-886-8572 Fax: 606-886-4433 | |
Treasure Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 S Front Ave, Prestonsburg, KY 41653 Phone: 606-886-8572 Fax: 606-886-4433 |