| Gateway Recovery Clinic, Pllc | |
|
805 Alexa Dr Ste D Mt Sterling KY 40353-1000 | |
| (859) 432-8002 | |
| Not Available |
| Full Name | Gateway Recovery Clinic, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 805 Alexa Dr Ste D, Mt Sterling, Kentucky |
| Authorized Official Name and Position | Sarah Zalone (PHYSICIAN) |
| Authorized Official Contact | 8594328002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Recovery Clinic, Pllc 805 Alexa Dr Ste D Mt Sterling KY 40353-1000 Ph: (859) 432-8002 | Gateway Recovery Clinic, Pllc 805 Alexa Dr Ste D Mt Sterling KY 40353-1000 Ph: (859) 432-8002 |
| NPI Number | 1003377011 |
|---|---|
| Provider Enumeration Date | 03/31/2019 |
| Last Update Date | 06/18/2019 |
| Medicare PECOS PAC ID | 9830423326 |
|---|---|
| Medicare Enrollment ID | O20190703001741 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003377011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Emilee R Bailey-offill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144512815 PECOS PAC ID: 2860707130 Enrollment ID: I20150814014207 |
| Provider Name | Sarah M Zalone |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1710246194 PECOS PAC ID: 1456656909 Enrollment ID: I20160819001516 |
| Provider Name | Courtney N Shields |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700390218 PECOS PAC ID: 5395153993 Enrollment ID: I20210420002594 |
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