Compass Christian Counseling, Llc | |
698 Perimeter Dr Ste 101 Lexington KY 40517-4141 | |
(859) 721-3259 | |
Not Available |
Full Name | Compass Christian Counseling, Llc |
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Speciality | Counselor |
Location | 698 Perimeter Dr Ste 101, Lexington, Kentucky |
Authorized Official Name and Position | Linda Evelyn Fentress (OWNER, CLINICAL DIRECTOR) |
Authorized Official Contact | 8597213259 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Compass Christian Counseling, Llc 698 Perimeter Dr Ste 101 Lexington KY 40517-4141 Ph: (859) 721-3259 | Compass Christian Counseling, Llc 698 Perimeter Dr Ste 101 Lexington KY 40517-4141 Ph: (859) 721-3259 |
NPI Number | 1831723436 |
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Provider Enumeration Date | 02/24/2020 |
Last Update Date | 02/24/2020 |
Certification Date | 02/24/2020 |
Medicare PECOS PAC ID | 0244674224 |
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Medicare Enrollment ID | O20240217000507 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831723436 | NPI | - | NPPES |
7100409410 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Provider Name | Linda Evelyn Fentress |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1134512775 PECOS PAC ID: 4688001837 Enrollment ID: I20240217000543 |
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