Journey Through Counseling Llc | |
1440 Campbell Ln Ste 600 Bowling Green KY 42104-3390 | |
(270) 715-1178 | |
(270) 715-1189 |
Full Name | Journey Through Counseling Llc |
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Speciality | Clinic/Center |
Location | 1440 Campbell Ln Ste 600, Bowling Green, Kentucky |
Authorized Official Name and Position | Michelle Long (OFFICE MANAGER) |
Authorized Official Contact | 2707151178 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Journey Through Counseling Llc 1440 Campbell Ln Ste 600 Bowling Green KY 42104-3390 Ph: (270) 715-1178 | Journey Through Counseling Llc 1440 Campbell Ln Ste 600 Bowling Green KY 42104-3390 Ph: (270) 715-1178 |
NPI Number | 1831746767 |
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Provider Enumeration Date | 08/26/2019 |
Last Update Date | 09/13/2021 |
Certification Date | 09/13/2021 |
Medicare PECOS PAC ID | 8820409329 |
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Medicare Enrollment ID | O20201203002632 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831746767 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Nicole L Young |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1619136645 PECOS PAC ID: 1153506068 Enrollment ID: I20110419000505 |
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