| Jessica Young Counseling Services, Llc | |
|
5899 Bailey Rd Mount Sherman KY 42764-8769 | |
| (270) 401-1235 | |
| Not Available |
| Full Name | Jessica Young Counseling Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 5899 Bailey Rd, Mount Sherman, Kentucky |
| Authorized Official Name and Position | Jessica L Young (OWNER/PROVIDER) |
| Authorized Official Contact | 2704011235 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Young Counseling Services, Llc 606a N Lincoln Blvd Hodgenville KY 42748-1621 Ph: (270) 401-1235 | Jessica Young Counseling Services, Llc 5899 Bailey Rd Mount Sherman KY 42764-8769 Ph: (270) 401-1235 |
| NPI Number | 1427766302 |
|---|---|
| Provider Enumeration Date | 11/09/2022 |
| Last Update Date | 11/09/2022 |
| Certification Date | 11/09/2022 |
| Medicare PECOS PAC ID | 8022488147 |
|---|---|
| Medicare Enrollment ID | O20230106001568 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427766302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jessica Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649618836 PECOS PAC ID: 9436441326 Enrollment ID: I20160713002465 |
| Provider Name | Cady Tisdale |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952176455 PECOS PAC ID: 8628414935 Enrollment ID: I20240308002709 |