Reva Renee Hacker, LPCC | |
86 Highway 638 Ste 1, Manchester, KY 40962-7289 | |
(606) 598-0070 | |
(844) 273-1765 |
Full Name | Reva Renee Hacker |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 86 Highway 638 Ste 1, Manchester, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184935348 | NPI | - | NPPES |
7100409560 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | 167212 (Kentucky) | Primary |
Entity Name | Family Practice Clinic Of Booneville, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326152109 PECOS PAC ID: 6406764612 Enrollment ID: O20040327000248 |
Entity Name | Mountain Family Practice Clinic Of Manchester Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689919078 PECOS PAC ID: 0143465617 Enrollment ID: O20130404000306 |
Entity Name | Lancaster Family Health Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942946710 PECOS PAC ID: 0446634216 Enrollment ID: O20221212000838 |
Mailing Address | Practice Location Address |
---|---|
Reva Renee Hacker, LPCC 86 Highway 638 Ste 1, Manchester, KY 40962-7289 Ph: (606) 598-0070 | Reva Renee Hacker, LPCC 86 Highway 638 Ste 1, Manchester, KY 40962-7289 Ph: (606) 598-0070 |
Mrs. Jamilyn Parrigan, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 108 Manchester Shopping Ctr, Manchester, KY 40962 Phone: 606-658-6333 | |
Mrs. Bobbi Jean Jones, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 85 Ky-80, Manchester, KY 40962 Phone: 606-526-9005 | |
Alisha Nicole Stewart, Counselor Medicare: Not Enrolled in Medicare Practice Location: 565 Muddy Gap Rd, Manchester, KY 40962 Phone: 606-598-5172 | |
Karleena Sue Inman, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8467 N Highway 421, Manchester, KY 40962 Phone: 606-658-9240 | |
Jessie Weaver, Counselor Medicare: Not Enrolled in Medicare Practice Location: 86 Highway 638 Ste 1, Manchester, KY 40962 Phone: 606-598-0070 | |
Stacey Lorraine Hayden, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 56 Marie Langdon Dr, Manchester, KY 40962 Phone: 606-599-4080 Fax: 606-598-1688 |