| George Marshall Counseling, Pllc | |
|
1210 4th St Lewisport KY 42351-2526 | |
| (270) 295-6450 | |
| Not Available |
| Full Name | George Marshall Counseling, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1210 4th St, Lewisport, Kentucky |
| Authorized Official Name and Position | George D Marshall (OWNER) |
| Authorized Official Contact | 2702956450 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| George Marshall Counseling, Pllc Po Box 297 Lewisport KY 42351-0297 Ph: (270) 295-6450 | George Marshall Counseling, Pllc 1210 4th St Lewisport KY 42351-2526 Ph: (270) 295-6450 |
| NPI Number | 1093178048 |
|---|---|
| Provider Enumeration Date | 03/29/2016 |
| Last Update Date | 05/11/2016 |
| Medicare PECOS PAC ID | 7012214174 |
|---|---|
| Medicare Enrollment ID | O20160405000777 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093178048 | NPI | - | NPPES |
| 1093178048 | Medicaid | KY | |
| K197630 | Other | KY | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1636 (Kentucky) | Primary |
| Provider Name | George D Marshall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720027006 PECOS PAC ID: 9830129535 Enrollment ID: I20050812000474 |
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