Tracy Chaney Oldaker, LPCC-S | |
618 N Green St, Henderson, KY 42420-2949 | |
(270) 826-8314 | |
Not Available |
Full Name | Tracy Chaney Oldaker |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 618 N Green St, Henderson, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104425594 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 103362 (Kentucky) | Secondary |
101YP2500X | Counselor - Professional | 103362 (Kentucky) | Primary |
Entity Name | Green River Regional Mental Health/mental Retardation Board, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285689711 PECOS PAC ID: 4082522396 Enrollment ID: O20040121000007 |
Mailing Address | Practice Location Address |
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Tracy Chaney Oldaker, LPCC-S Po Box 1637, Owensboro, KY 42302-1637 Ph: (270) 689-6500 | Tracy Chaney Oldaker, LPCC-S 618 N Green St, Henderson, KY 42420-2949 Ph: (270) 826-8314 |
Bradley Wimsatt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 Us Highway 41 S, Henderson, KY 42420 Phone: 270-831-2231 | |
Ms. Janice Marie Hutchason, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 230 2nd St Ste 406, Henderson, KY 42420 Phone: 270-826-8761 | |
Gordon Stinnett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 230 2nd St Ste 406, Henderson, KY 42420 Phone: 270-867-8761 Fax: 270-826-8737 | |
Jessica Harris, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 230 2nd St, Suite 308, Henderson, KY 42420 Phone: 270-826-8761 Fax: 270-826-8737 | |
Pamela Brasher, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 203 N Elm St, Henderson, KY 42420 Phone: 270-826-8761 Fax: 270-826-8737 | |
Dr. Ronald Terry Wilson, PSYD, LCAC, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 N Elm St, Henderson, KY 42420 Phone: 270-454-4558 |