Shanalee J Branham, | |
321 E Main St, Morehead, KY 40351-1671 | |
(606) 784-4161 | |
(606) 783-9952 |
Full Name | Shanalee J Branham |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 321 E Main St, Morehead, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164844551 | NPI | - | NPPES |
30610026 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 166702 (Kentucky) | Primary |
Entity Name | Pathways Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982615043 PECOS PAC ID: 1254239171 Enrollment ID: O20031230000043 |
Mailing Address | Practice Location Address |
---|---|
Shanalee J Branham, Po Box 790, Ashland, KY 41105-0790 Ph: (606) 329-8588 | Shanalee J Branham, 321 E Main St, Morehead, KY 40351-1671 Ph: (606) 784-4161 |
Zainab Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Horizon Way, Morehead, KY 40351 Phone: 606-783-7293 | |
Stephen Crail, Counselor Medicare: Not Enrolled in Medicare Practice Location: 321 E Main St, Morehead, KY 40351 Phone: 606-784-4161 Fax: 606-783-9952 | |
Derek Hatfield, Counselor Medicare: Not Enrolled in Medicare Practice Location: 321 E Main St, Morehead, KY 40351 Phone: 606-784-4161 Fax: 606-329-8195 | |
Cindy Lee Kerns, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 214 E Main St, Morehead, KY 40351 Phone: 606-784-8682 | |
Brittany Bowling, LPCA Counselor Medicare: Medicare Enrolled Practice Location: 321 E Main St, Morehead, KY 40351 Phone: 606-784-4161 Fax: 606-783-9952 | |
Teresa M Tackett, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1111 Us Highway 60 W, Morehead, KY 40351 Phone: 606-402-3001 | |
Ron O'hair, Counselor Medicare: Not Enrolled in Medicare Practice Location: 321 E Main St, Morehead, KY 40351 Phone: 606-784-4161 Fax: 606-783-9952 |