Tiffany Blanton, LPCC, NCC | |
1448 Diederich Boulveard, Russell, KY 41169 | |
(606) 834-0020 | |
(606) 834-0049 |
Full Name | Tiffany Blanton |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 1448 Diederich Boulveard, Russell, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972600609 | NPI | - | NPPES |
2886911 | Other | UNITED HEALTHCARE | |
30610026 | Medicaid | KY | |
000000558499 | Other | ANTHEM BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 1163 (Kentucky) | Primary |
Entity Name | Lighthouse Professional Counseling Services Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003218546 PECOS PAC ID: 4082938477 Enrollment ID: O20150112002286 |
Mailing Address | Practice Location Address |
---|---|
Tiffany Blanton, LPCC, NCC 1448 Diederich Blvd, Russell, KY 41169-1719 Ph: (606) 834-0020 | Tiffany Blanton, LPCC, NCC 1448 Diederich Boulveard, Russell, KY 41169 Ph: (606) 834-0020 |
Gerri Hobbs, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 314 Ferry St, Russell, KY 41169 Phone: 606-388-2898 | |
Debora K Reeves, LCSW, LCADC Counselor Medicare: Accepting Medicare Assignments Practice Location: 1448 Diederich Blvd, Russell, KY 41169 Phone: 606-834-0020 Fax: 606-834-0049 | |
Allison Charee Jackson, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 1448 Diederich Blvd, Russell, KY 41169 Phone: 606-834-0020 Fax: 606-834-0049 | |
Courtney Joyce, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1448 Diederich Blvd, Russell, KY 41169 Phone: 606-834-0020 Fax: 606-834-0049 |