Mrs Theresa Lynn Rust, PCC-S, LSW, LICDC-CS | |
80 Highway 2227, Somerset, KY 42503-1562 | |
(513) 475-2702 | |
Not Available |
Full Name | Mrs Theresa Lynn Rust |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 80 Highway 2227, Somerset, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093197089 | NPI | - | NPPES |
7100731970 | Medicaid | KY | |
0279638 | Medicaid | OH |
Entity Name | Protea Behavioral Health Counseling Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205429800 PECOS PAC ID: 9436510500 Enrollment ID: O20230804003512 |
Mailing Address | Practice Location Address |
---|---|
Mrs Theresa Lynn Rust, PCC-S, LSW, LICDC-CS 80 Highway 2227, Somerset, KY 42503-1562 Ph: (513) 475-2702 | Mrs Theresa Lynn Rust, PCC-S, LSW, LICDC-CS 80 Highway 2227, Somerset, KY 42503-1562 Ph: (513) 475-2702 |
Mr. Mark Anthony Hamm, NCC, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 E Mount Vernon St, Somerset, KY 42501 Phone: 606-451-9379 Fax: 606-451-8149 | |
Aimee Flynn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 E Mount Vernon St, Somerset, KY 42501 Phone: 606-451-9379 | |
Samantha Torres, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 480 E University Dr Ste 7a, Somerset, KY 42503 Phone: 606-451-9379 | |
Cherish Forney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 80 Kay St # 2227, Somerset, KY 42503 Phone: 606-485-4003 | |
Mr. Andrew B Fisher, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 Highway 2227, Somerset, KY 42503 Phone: 606-678-0421 | |
Tammy Flynn, NCC, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 E Mount Vernon St, Somerset, KY 42501 Phone: 606-451-9379 | |
Emily Nicole Idlewine, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3540 S Highway 27 Ste 4, Somerset, KY 42501 Phone: 606-679-1815 Fax: 606-451-1631 |