Molly Piper Rucks, LPCC | |
1169 Eastern Pkwy, #2339, Louisville, KY 40217-1417 | |
(502) 408-3223 | |
(888) 711-1902 |
Full Name | Molly Piper Rucks |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1169 Eastern Pkwy, Louisville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003194192 | NPI | - | NPPES |
7100286520 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 102160 (Kentucky) | Secondary |
101YM0800X | Counselor - Mental Health | 102160 (Kentucky) | Primary |
Entity Name | Bridgehaven, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093823817 PECOS PAC ID: 9436122629 Enrollment ID: O20040816001372 |
Mailing Address | Practice Location Address |
---|---|
Molly Piper Rucks, LPCC 902 E Jefferson St, Louisville, KY 40206-1620 Ph: (502) 741-0059 | Molly Piper Rucks, LPCC 1169 Eastern Pkwy, #2339, Louisville, KY 40217-1417 Ph: (502) 408-3223 |
Julie Taylor Locke, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8100 Westport Rd, Louisville, KY 40222 Phone: 502-472-2692 | |
Megan Mcmillen, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3121 Brooklawn Campus Dr, Louisville, KY 40218 Phone: 502-212-8360 | |
Mary Gray, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4010 Dupont Cir Ste 562, Louisville, KY 40207 Phone: 502-896-1850 | |
Elaine Stamper, Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 S Preston St, Louisville, KY 40202 Phone: 502-589-8600 Fax: 502-589-8771 | |
Janna Donovan, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1860 Mellwood Ave # 117, Louisville, KY 40206 Phone: 502-689-7977 Fax: 502-442-0020 | |
Keith Mckenzie, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 332 W Broadway Ste 905, Louisville, KY 40202 Phone: 502-587-9737 |