Sophia Isabelle Kiri, MED, LMHC | |
3110 Royal Windsor Dr, Edgewood, KY 41017-2629 | |
(561) 577-6202 | |
Not Available |
Full Name | Sophia Isabelle Kiri |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 3110 Royal Windsor Dr, Edgewood, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073196457 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 19098 (Florida) | Primary |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053 |
Mailing Address | Practice Location Address |
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Sophia Isabelle Kiri, MED, LMHC 3110 Royal Windsor Dr, Edgewood, KY 41017-2629 Ph: (561) 577-6202 | Sophia Isabelle Kiri, MED, LMHC 3110 Royal Windsor Dr, Edgewood, KY 41017-2629 Ph: (561) 577-6202 |
Anne Salyers-hudgens, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 3005 Dixie Hwy Ste 250, Edgewood, KY 41017 Phone: 859-484-8884 | |
Mark Alan Modlin, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 Dudley Pike, Suite 120, Edgewood, KY 41017 Phone: 859-341-7170 Fax: 859-341-7173 | |
Callie Jean Parker, MA, LPCA Counselor Medicare: Medicare Enrolled Practice Location: 1 Medical Village Dr Ste 117, Edgewood, KY 41017 Phone: 513-731-3346 Fax: 513-672-9539 | |
Pamela Pitts, Counselor Medicare: Not Enrolled in Medicare Practice Location: 925 Dudley Pike, Edgewood, KY 41017 Phone: 859-360-3006 Fax: 859-360-3053 | |
Lucy R Betts, MED Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-5900 Fax: 859-301-5940 | |
Cameron Meador, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 925 Dudley Pike, Edgewood, KY 41017 Phone: 859-360-3006 Fax: 859-360-3053 |