| Altruism Counseling Services | |
|
271 W Short St Ste 508 Lexington KY 40507-1214 | |
| (859) 492-0152 | |
| Not Available |
| Full Name | Altruism Counseling Services |
|---|---|
| Speciality | Social Worker |
| Location | 271 W Short St Ste 508, Lexington, Kentucky |
| Authorized Official Name and Position | Dede Stratton (OWNER) |
| Authorized Official Contact | 8594920152 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Altruism Counseling Services 271 W Short St Ste 508 Lexington KY 40507-1214 Ph: (859) 492-0152 | Altruism Counseling Services 271 W Short St Ste 508 Lexington KY 40507-1214 Ph: (859) 492-0152 |
| NPI Number | 1316578776 |
|---|---|
| Provider Enumeration Date | 02/03/2020 |
| Last Update Date | 02/03/2020 |
| Certification Date | 02/03/2020 |
| Medicare PECOS PAC ID | 6507295847 |
|---|---|
| Medicare Enrollment ID | O20200407002822 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316578776 | NPI | - | NPPES |
| 7100561950 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Dede Stratton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770036899 PECOS PAC ID: 8820341241 Enrollment ID: I20181213001891 |
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