| Emerald Therapy Center, Llc | |
|
5050 Village Square Dr Ste B Paducah KY 42001-7552 | |
| (270) 534-5128 | |
| (270) 477-0007 |
| Full Name | Emerald Therapy Center, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5050 Village Square Dr Ste B, Paducah, Kentucky |
| Authorized Official Name and Position | Shelly Baer (THERAPIST) |
| Authorized Official Contact | 2705345128 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emerald Therapy Center, Llc 5050b Village Square Dr Paducah KY 42001-9499 Ph: (270) 217-2058 | Emerald Therapy Center, Llc 5050 Village Square Dr Ste B Paducah KY 42001-7552 Ph: (270) 534-5128 |
| NPI Number | 1619340387 |
|---|---|
| Provider Enumeration Date | 11/03/2015 |
| Last Update Date | 09/15/2024 |
| Certification Date | 09/15/2024 |
| Medicare PECOS PAC ID | 6103241211 |
|---|---|
| Medicare Enrollment ID | O20210827002743 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619340387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Laurie K Ballew |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639141948 PECOS PAC ID: 8224026034 Enrollment ID: I20040503000098 |
| Provider Name | Samantha D Hudson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982950432 PECOS PAC ID: 2264689884 Enrollment ID: I20120904000140 |
| Provider Name | Shelly Baer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396273272 PECOS PAC ID: 1557786662 Enrollment ID: I20210827002894 |
| Provider Name | Derek William Ratliff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861094211 PECOS PAC ID: 7416353396 Enrollment ID: I20210831003191 |
Summit Mental Wellness And Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4630 Village Square Dr, Suite 202, Paducah, KY 42001 Phone: 270-777-4490 Fax: 866-824-4022 | |
Laurie K. Ballew Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 657 Lone Oak Rd Ste 2, Paducah, KY 42003 Phone: 270-558-4174 Fax: 270-534-5753 | |
Psychological Associates Of Paducah, Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2315 Broadway St, Paducah, KY 42001 Phone: 270-442-8785 Fax: 270-443-1784 | |
Millstone Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4001 Hansen Rd, Paducah, KY 42001 Phone: 270-554-9216 Fax: 270-554-8732 | |
Integrated Psychological Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 413 Broadway St Unit A, Paducah, KY 42001 Phone: 618-727-1913 | |
Purchase Neurology Psc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 225 Medical Center Drive, Suite 402, Paducah, KY 42003 Phone: 270-441-4400 Fax: 270-441-4409 | |
Crossroads Treatment Centers Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 327 Coleman Rd, Paducah, KY 42001 Phone: 800-805-6989 |