| Stephanie Renee Gwinn, LPCC | |
|
2645 N Laurel Rd Ste A, London, KY 40741-9075 | |
| (833) 510-4357 | |
| Not Available |
| Full Name | Stephanie Renee Gwinn |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2645 N Laurel Rd Ste A, London, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174088223 | NPI | - | NPPES |
| 7100865430 | Medicaid | KY |
| Entity Name | Isaiah House Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396086559 PECOS PAC ID: 7113262163 Enrollment ID: O20181219000602 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Renee Gwinn, LPCC 4600 Montgomery Rd Ste 400, Cincinnati, OH 45212-2600 Ph: () - | Stephanie Renee Gwinn, LPCC 2645 N Laurel Rd Ste A, London, KY 40741-9075 Ph: (833) 510-4357 |
Whitney Mcphetridge, Counselor Medicare: Not Enrolled in Medicare Practice Location: 850 Ridgewood Rd, London, KY 40741 Phone: 606-389-8073 | |
Melissa Ann Partin, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2645 N Laurel Rd Ste B, London, KY 40741 Phone: 513-834-7063 | |
Miss Samantha Nicole Reid, BS, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 1907 E Pittsburg Church Rd, London, KY 40741 Phone: 606-389-5269 | |
Callie Elizabeth Quillen, B.S. MHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 915 N Laurel Rd, London, KY 40741 Phone: 606-864-2104 | |
Kenneth Earl Daniels, Counselor Medicare: Not Enrolled in Medicare Practice Location: 565 Highway 192 W, London, KY 40741 Phone: 606-485-5188 | |
Laceysha Jamison, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 21 Middeleground Way, London, KY 40744 Phone: 606-657-5470 Fax: 606-657-5472 |