| Integrative Counseling Center, Llc | |
|
1081 Dove Run Rd Ste 201 Lexington KY 40502-3678 | |
| (859) 554-6028 | |
| Not Available |
| Full Name | Integrative Counseling Center, Llc |
|---|---|
| Speciality | Counselor |
| Location | 1081 Dove Run Rd Ste 201, Lexington, Kentucky |
| Authorized Official Name and Position | Janet L Vessels (OWNER) |
| Authorized Official Contact | 8595546028 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Counseling Center, Llc 1081 Dove Run Rd Ste 201 Lexington KY 40502-3678 Ph: (859) 554-6028 | Integrative Counseling Center, Llc 1081 Dove Run Rd Ste 201 Lexington KY 40502-3678 Ph: (859) 554-6028 |
| NPI Number | 1710447511 |
|---|---|
| Provider Enumeration Date | 03/20/2019 |
| Last Update Date | 02/26/2024 |
| Certification Date | 02/26/2024 |
| Medicare PECOS PAC ID | 6901240480 |
|---|---|
| Medicare Enrollment ID | O20240509002384 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710447511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Janet Lee Vessels |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568536019 PECOS PAC ID: 7113368044 Enrollment ID: I20240509002509 |
| Provider Name | Monica Victoria Graham Woodard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588169940 PECOS PAC ID: 4486095643 Enrollment ID: I20240518000541 |
| Provider Name | Carrie Ann Corbett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932679826 PECOS PAC ID: 9133565971 Enrollment ID: I20240522001076 |
| Provider Name | Nicole Irene Stiles |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225533391 PECOS PAC ID: 4789026733 Enrollment ID: I20240522003638 |
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