| Mr Bruce Willard Osborne Jr, LPC | |
|
1800 Zhale Smith Road, La Grange, KY 40031 | |
| (502) 264-1514 | |
| (502) 371-7550 |
| Full Name | Mr Bruce Willard Osborne Jr |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 1800 Zhale Smith Road, La Grange, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710938782 | NPI | - | NPPES |
| 283910000 | Other | TN | MAGELLAN |
| 4058210 | Other | TN | BLUE CROSS BLUE SHIELD |
| 230204 | Other | TN | OPTUM EAP |
| 283910000 | Other | TN | AETNA |
| 5441054 | Medicaid | TN | |
| 11539066 | Other | TN | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | KY-1524 (Kentucky) | Primary |
| 101YP2500X | Counselor - Professional | LPC0000000736 (Tennessee) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Bruce Willard Osborne Jr, LPC P O Box 514, La Grange, KY 40031 Ph: (502) 264-1514 | Mr Bruce Willard Osborne Jr, LPC 1800 Zhale Smith Road, La Grange, KY 40031 Ph: (502) 264-1514 |
Chelsea Northrip, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2141 Spencer Ct, La Grange, KY 40031 Phone: 502-589-8600 Fax: 502-589-8771 | |
Craig Goodwin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2141 Spencer Ct, La Grange, KY 40031 Phone: 502-589-8600 Fax: 502-589-8771 | |
Christina Edwards, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2141 Spencer Ct, La Grange, KY 40031 Phone: 502-589-8600 Fax: 502-589-8771 | |
Felicia Meyers, PHD Counselor Medicare: Medicare Enrolled Practice Location: 2111 Spencer Ct, La Grange, KY 40031 Phone: 502-262-2887 | |
Margaret Ruth Favata, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 206 W Jefferson St, La Grange, KY 40031 Phone: 716-785-2730 | |
Mrs. Sherri Diane Bentley, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 105 E Washington St, La Grange, KY 40031 Phone: 502-648-6988 Fax: 502-331-6062 | |
Linda Mudd, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2141 Spencer Ct, La Grange, KY 40031 Phone: 502-589-8600 Fax: 502-589-8771 |