Tammy Lynn Mattingly, | |
2894 Sam Browning Rd, Lebanon, KY 40033-9114 | |
(270) 402-5601 | |
Not Available |
Full Name | Tammy Lynn Mattingly |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 2894 Sam Browning Rd, Lebanon, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063776037 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Entity Name | Hope |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356893630 PECOS PAC ID: 6305259912 Enrollment ID: O20201228001722 |
Mailing Address | Practice Location Address |
---|---|
Tammy Lynn Mattingly, 2894 Sam Browning Rd, Lebanon, KY 40033-9114 Ph: (270) 402-5601 | Tammy Lynn Mattingly, 2894 Sam Browning Rd, Lebanon, KY 40033-9114 Ph: (270) 402-5601 |
Lindsey Gritton Thompson, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3706 Saint Marys Rd, Lebanon, KY 40033 Phone: 270-699-0450 | |
William Neil Caldwell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 241 N Depot St, Lebanon, KY 40033 Phone: 270-699-1542 | |
Erica Renee Porter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 65 Old Springfield Rd, Lebanon, KY 40033 Phone: 270-692-2509 Fax: 270-692-2592 | |
Michelle Lynn Slaughter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 65 Old Springfield Rd, Lebanon, KY 40033 Phone: 270-692-2509 Fax: 270-692-2592 | |
Kimberly Dean Lobb, MHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 65 Old Springfield Rd, Lebanon, KY 40033 Phone: 270-692-2509 Fax: 270-692-2509 | |
Ashley A Hargis, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 3345 Highway 208, Lebanon, KY 40033 Phone: 844-435-0900 Fax: 270-858-4029 |