| Candace Cross Counseling Llc | |
|
3070 Lakecrest Cir Ste 400156 Lexington KY 40513-1937 | |
| (859) 305-9466 | |
| Not Available |
| Full Name | Candace Cross Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3070 Lakecrest Cir Ste 400156, Lexington, Kentucky |
| Authorized Official Name and Position | Candace Cross (MANAGING MEMBER) |
| Authorized Official Contact | 8593959466 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Candace Cross Counseling Llc 3070 Lakecrest Cir Ste 400156 Lexington KY 40513-1937 Ph: () - | Candace Cross Counseling Llc 3070 Lakecrest Cir Ste 400156 Lexington KY 40513-1937 Ph: (859) 305-9466 |
| NPI Number | 1235886268 |
|---|---|
| Provider Enumeration Date | 03/09/2022 |
| Last Update Date | 03/09/2022 |
| Certification Date | 03/09/2022 |
| Medicare PECOS PAC ID | 9537542469 |
|---|---|
| Medicare Enrollment ID | O20220810001518 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235886268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Candace M Cross |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255753422 PECOS PAC ID: 2264783497 Enrollment ID: I20180926002718 |
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