Mr Richard Keith Lanham, LPCC | |
116 S Cross Main St, Springfield, KY 40069-1212 | |
(859) 319-2900 | |
Not Available |
Full Name | Mr Richard Keith Lanham |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 116 S Cross Main St, Springfield, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932798576 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 268364 (Kentucky) | Secondary |
101YP2500X | Counselor - Professional | 285523 (Kentucky) | Primary |
Entity Name | Outreach Behavioral Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720766298 PECOS PAC ID: 6709223985 Enrollment ID: O20240322004051 |
Mailing Address | Practice Location Address |
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Mr Richard Keith Lanham, LPCC 3327 Pottsville Rd, Springfield, KY 40069-7633 Ph: (859) 319-2900 | Mr Richard Keith Lanham, LPCC 116 S Cross Main St, Springfield, KY 40069-1212 Ph: (859) 319-2900 |
Susan Pointer, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 803 Bel Vista Dr, Ste 1, Springfield, KY 40069 Phone: 859-336-9171 | |
Katie Warner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 Lincoln Park Rd, Springfield, KY 40069 Phone: 844-435-0900 Fax: 270-858-4029 | |
Mrs. Michelle Louise Grammer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 324 E Main St, Springfield, KY 40069 Phone: 859-336-7746 |