| Appalachian Community Care Llc | |
|
387 Town Mountain Rd Ste 101 Pikeville KY 41501-1641 | |
| (606) 432-5660 | |
| Not Available |
| Full Name | Appalachian Community Care Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 387 Town Mountain Rd Ste 101, Pikeville, Kentucky |
| Authorized Official Name and Position | Lovonne Fleming-richardson (OWNER) |
| 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) 962-7890 | Appalachian Community Care Llc 387 Town Mountain Rd Ste 101 Pikeville KY 41501-1641 Ph: (606) 432-5660 |
| NPI Number | 1700540010 |
|---|---|
| Provider Enumeration Date | 10/25/2021 |
| Last Update Date | 07/30/2024 |
| Certification Date | 07/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700540010 | NPI | - | NPPES |
| 810814 | Other | KY | CHFS |
| 7100778300 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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