| Appalachian Community Care Llc | |
|
255 Church St Ste 101 Pikeville KY 41501-3476 | |
| (606) 432-5660 | |
| Not Available |
| Full Name | Appalachian Community Care Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 255 Church St Ste 101, Pikeville, Kentucky |
| Authorized Official Name and Position | Lovonne F Richardson (PRESIDENT) |
| Authorized Official Contact | 6062533045 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Appalachian Community Care Llc 7145 E Virginia St Ste 2000 Evansville IN 47715-9147 Ph: (812) 962-7894 | Appalachian Community Care Llc 255 Church St Ste 101 Pikeville KY 41501-3476 Ph: (606) 432-5660 |
| NPI Number | 1558750406 |
|---|---|
| Provider Enumeration Date | 01/15/2015 |
| Last Update Date | 10/29/2021 |
| Certification Date | 10/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558750406 | NPI | - | NPPES |
| 18D2144199 | Other | KY | CLIA |
| 7100320230 | Medicaid | KY | |
| 7100443540 | Medicaid | KY | |
| 7100315770 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 1520 (Kentucky) | Primary |
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