William David Back, LPCC, TACDC | |
101 Saint Clair St # A, Frankfort, KY 40601-2640 | |
(859) 489-6557 | |
(859) 756-6078 |
Full Name | William David Back |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 101 Saint Clair St # A, Frankfort, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083135636 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 162868 (Kentucky) | Primary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 168467 (Kentucky) | Secondary |
Entity Name | Psychological & Behavioral Consultants Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811915713 PECOS PAC ID: 0446243760 Enrollment ID: O20160926002081 |
Mailing Address | Practice Location Address |
---|---|
William David Back, LPCC, TACDC 225 S Main St Ste B, Versailles, KY 40383-1582 Ph: (859) 489-6557 | William David Back, LPCC, TACDC 101 Saint Clair St # A, Frankfort, KY 40601-2640 Ph: (859) 489-6557 |
Mallory Hamm, MA, LPCA Counselor Medicare: Medicare Enrolled Practice Location: 251 Democrat Dr, Frankfort, KY 40601 Phone: 502-385-0695 | |
Virginia Naomi Marshall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 213 Saint Clair St Ste 204, Frankfort, KY 40601 Phone: 270-401-3149 | |
Kelley J Gannon, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 191 Doctors Dr, Frankfort, KY 40601 Phone: 859-253-1686 Fax: 859-254-2743 | |
Dr. Carol Blanken Saenger, L.P.C.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 211 Washington St, Frankfort, KY 40601 Phone: 502-227-7430 Fax: 502-227-7166 | |
Della M Guynn, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 1030 Burlington Ln Ste 5, Frankfort, KY 40601 Phone: 502-209-7817 | |
Gina Turner, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 83 C Michael Davenport Blvd, Frankfort, KY 40601 Phone: 859-420-8824 |