Shannon Tennille Smith, MED | |
3540 S Highway 27 Ste 4, Somerset, KY 42501-3124 | |
(606) 679-1815 | |
(606) 451-1631 |
Full Name | Shannon Tennille Smith |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 3540 S Highway 27 Ste 4, 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 |
---|---|---|---|
1396156915 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | KY-0561 (Kentucky) | Primary |
Entity Name | Morrland Healthcare Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992974570 PECOS PAC ID: 1759721780 Enrollment ID: O20240424002674 |
Mailing Address | Practice Location Address |
---|---|
Shannon Tennille Smith, MED 3540 S Highway 27 Ste 4, Somerset, KY 42501-3124 Ph: (606) 679-1815 | Shannon Tennille Smith, MED 3540 S Highway 27 Ste 4, Somerset, KY 42501-3124 Ph: (606) 679-1815 |
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 |