Miss Samantha Nicole Reid, BS, LPCC | |
1907 E Pittsburg Church Rd, London, KY 40741-9047 | |
(606) 389-5269 | |
Not Available |
Full Name | Miss Samantha Nicole Reid |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1907 E Pittsburg Church Rd, London, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093050015 | NPI | - | NPPES |
7100339080 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 164139 (Kentucky) | Primary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
Entity Name | S & S Behavioral Health, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619612231 PECOS PAC ID: 2163803255 Enrollment ID: O20220720003672 |
Mailing Address | Practice Location Address |
---|---|
Miss Samantha Nicole Reid, BS, LPCC 1907 E Pittsburg Church Rd, London, KY 40741-9047 Ph: (606) 389-5269 | Miss Samantha Nicole Reid, BS, LPCC 1907 E Pittsburg Church Rd, London, KY 40741-9047 Ph: (606) 389-5269 |
Whitney Mcphetridge, Counselor Medicare: Not Enrolled in Medicare Practice Location: 850 Ridgewood Rd, London, KY 40741 Phone: 606-389-8073 | |
Melissa Ann Partin, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2645 N Laurel Rd Ste B, London, KY 40741 Phone: 513-834-7063 | |
Callie Elizabeth Quillen, B.S. MHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 915 N Laurel Rd, London, KY 40741 Phone: 606-864-2104 | |
Stephanie Renee Gwinn, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 2645 N Laurel Rd Ste A, London, KY 40741 Phone: 833-510-4357 | |
Kenneth Earl Daniels, Counselor Medicare: Not Enrolled in Medicare Practice Location: 565 Highway 192 W, London, KY 40741 Phone: 606-485-5188 | |
Laceysha Jamison, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 21 Middeleground Way, London, KY 40744 Phone: 606-657-5470 Fax: 606-657-5472 |