| Family Connecton | |
|
121 Prosperous Pl Suite 4a Lexington KY 40509-1800 | |
| (859) 263-2673 | |
| (859) 263-5677 |
| Full Name | Family Connecton |
|---|---|
| Speciality | Social Worker |
| Location | 121 Prosperous Pl, Lexington, Kentucky |
| Authorized Official Name and Position | Sally Elizabeth Rhoads (PSC) |
| Authorized Official Contact | 8592632673 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Connecton 121 Prosperous Pl Suite 4a Lexington KY 40509-1800 Ph: (859) 263-2673 | Family Connecton 121 Prosperous Pl Suite 4a Lexington KY 40509-1800 Ph: (859) 263-2673 |
| NPI Number | 1790940369 |
|---|---|
| Provider Enumeration Date | 07/23/2008 |
| Last Update Date | 07/23/2008 |
| Medicare PECOS PAC ID | 1456425867 |
|---|---|
| Medicare Enrollment ID | O20080804000164 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790940369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 238 (Kentucky) | Primary |
| Provider Name | Sally E Rhoads |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356475339 PECOS PAC ID: 3274607684 Enrollment ID: I20080804000154 |
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