Richard Alexander Mckinley, | |
1327 E Broadway St Ste B, Campbellsville, KY 42718-1599 | |
(270) 283-4240 | |
Not Available |
Full Name | Richard Alexander Mckinley |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 1327 E Broadway St Ste B, Campbellsville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619303567 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | 245620 (Kentucky) | Primary |
Entity Name | Kentucky Counseling Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932590338 PECOS PAC ID: 7618221300 Enrollment ID: O20181115002000 |
Mailing Address | Practice Location Address |
---|---|
Richard Alexander Mckinley, 107 Cranes Roost Ct, Elizabethtown, KY 42701-3650 Ph: (270) 765-2605 | Richard Alexander Mckinley, 1327 E Broadway St Ste B, Campbellsville, KY 42718-1599 Ph: (270) 283-4240 |
Ms. Bridget Louise Hahn Southwood, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Gene Cash Rd, Campbellsville, KY 42718 Phone: 270-465-7768 | |
Ruby Colvin, MHE Counselor Medicare: Not Enrolled in Medicare Practice Location: 3020 Old Lebanon Rd, Campbellsville, KY 42718 Phone: 270-465-7424 | |
Wanda Washington, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 305 Watertower Bypass, Campbellsville, KY 42718 Phone: 270-465-7424 Fax: 606-678-5296 | |
Leletha Darlene Conover, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Gene Cash Rd, Campbellsville, KY 42718 Phone: 270-465-7768 | |
Debra De La Garza, LCSW, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 238 Quail Ridge Rd, Campbellsville, KY 42718 Phone: 270-505-2665 | |
Ginger Ford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3020 Old Lebanon Rd, Campbellsville, KY 42718 Phone: 270-465-7424 | |
Viktoria Krell, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3020 Old Lebanon Road, Campbellsville, KY 42718 Phone: 270-465-7424 Fax: 270-465-7993 |