| Alliance Counseling Associates | |
|
104 Reynolds Rd Glasgow KY 42141-1177 | |
| (270) 678-4801 | |
| Not Available |
| Full Name | Alliance Counseling Associates |
|---|---|
| Speciality | Counselor |
| Location | 104 Reynolds Rd, Glasgow, Kentucky |
| Authorized Official Name and Position | Hannah Medley (CREDENTIALING MANAGER) |
| Authorized Official Contact | 2706701461 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance Counseling Associates 104 Reynolds Rd Glasgow KY 42141-1177 Ph: (270) 904-6567 | Alliance Counseling Associates 104 Reynolds Rd Glasgow KY 42141-1177 Ph: (270) 678-4801 |
| NPI Number | 1285938209 |
|---|---|
| Provider Enumeration Date | 01/05/2011 |
| Last Update Date | 03/16/2022 |
| Certification Date | 03/16/2022 |
| Medicare PECOS PAC ID | 9436443736 |
|---|---|
| Medicare Enrollment ID | O20160809003226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285938209 | NPI | - | NPPES |
| Provider Name | Shelly D Champagne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548526049 PECOS PAC ID: 1850536954 Enrollment ID: I20130320000395 |
| Provider Name | Melynda M Amorim |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184034985 PECOS PAC ID: 9234411893 Enrollment ID: I20170117001191 |
| Provider Name | Marcie N Crain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164890877 PECOS PAC ID: 1052670841 Enrollment ID: I20180124002750 |
| Provider Name | Leisia K Landers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720493810 PECOS PAC ID: 6406249986 Enrollment ID: I20220204000857 |
| Provider Name | Jason Rickard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275236127 PECOS PAC ID: 6901257492 Enrollment ID: I20240109003160 |
| Provider Name | Amy Baird |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194957142 PECOS PAC ID: 3476998949 Enrollment ID: I20240224000317 |
| Provider Name | Cindy Meadows |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245661479 PECOS PAC ID: 1759720089 Enrollment ID: I20240418002744 |
| Provider Name | Tammy Totten |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124570676 PECOS PAC ID: 6002256203 Enrollment ID: I20240506001267 |
| Provider Name | David Scott |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1154802437 PECOS PAC ID: 6608218227 Enrollment ID: I20240529000955 |
| Provider Name | Michele Durkalski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710954425 PECOS PAC ID: 6305288820 Enrollment ID: I20240529001462 |
| Provider Name | Kristen Hoskins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508512872 PECOS PAC ID: 2961844410 Enrollment ID: I20240529002548 |
| Provider Name | Candice Sawyer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497165633 PECOS PAC ID: 5597107045 Enrollment ID: I20240529002584 |
| Provider Name | Abbey Wood |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467190686 PECOS PAC ID: 2668814112 Enrollment ID: I20240529002646 |
| Provider Name | Kelli Truelove |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548638570 PECOS PAC ID: 3577006949 Enrollment ID: I20240613004643 |
| Provider Name | William Lee Fowlkes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205601929 PECOS PAC ID: 4486197852 Enrollment ID: I20240614000003 |
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