| Appalachian Wellness, L.l.c. | |
|
592 Ky 15 South Suite 5 Campton KY 41301 | |
| (606) 668-7393 | |
| (866) 718-4137 |
| Full Name | Appalachian Wellness, L.l.c. |
|---|---|
| Speciality | Psychologist |
| Location | 592 Ky 15 South, Campton, Kentucky |
| Authorized Official Name and Position | Sheri Lyn Rose Haas (OWNER) |
| Authorized Official Contact | 6066687393 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Appalachian Wellness, L.l.c. Po Box 1136 592 Ky 15 South, Suite 5 Campton KY 41301-1136 Ph: (606) 668-7393 | Appalachian Wellness, L.l.c. 592 Ky 15 South Suite 5 Campton KY 41301 Ph: (606) 668-7393 |
| NPI Number | 1932566544 |
|---|---|
| Provider Enumeration Date | 01/27/2016 |
| Last Update Date | 01/27/2016 |
| Medicare PECOS PAC ID | 9537429378 |
|---|---|
| Medicare Enrollment ID | O20180521000602 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932566544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSYPPR00216468 (Kentucky) | Primary |
| 273R00000X | Psychiatric Unit | 41931 (Kentucky) | Secondary |
| Provider Name | Manish Parikh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457390791 PECOS PAC ID: 8123017407 Enrollment ID: I20050627000014 |
| Provider Name | Dhruv Pandya |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1437261575 PECOS PAC ID: 5294765855 Enrollment ID: I20050823000064 |
| Provider Name | Edward A Sizemore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467788216 PECOS PAC ID: 0244372969 Enrollment ID: I20100119000466 |
| Provider Name | Courtney L Feral |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497014658 PECOS PAC ID: 9537304571 Enrollment ID: I20130322000462 |
| Provider Name | Tami Osborne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356851620 PECOS PAC ID: 4880950617 Enrollment ID: I20171113000365 |
| Provider Name | Sheri Lyn Rose Haas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518390723 PECOS PAC ID: 0446510283 Enrollment ID: I20180608000351 |
| Provider Name | Scott A Haas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750533790 PECOS PAC ID: 2668656570 Enrollment ID: I20180911000182 |
| Provider Name | Rae Lyn Glover |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194205955 PECOS PAC ID: 9335487743 Enrollment ID: I20190211001095 |
| Provider Name | Jessi Jade Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184278756 PECOS PAC ID: 3870925167 Enrollment ID: I20191106002777 |
East Kentucky Psychiatric Care, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 72 Allen Ln, Campton, KY 41301 Phone: 606-225-2920 | |
Wolfe Therapeutic Services, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 724 Falling Water Creek Rd, Campton, KY 41301 Phone: 606-356-8623 |