| Kentucky Services, Llc | |
|
3150 Custer Dr Ste 202 Lexington KY 40517-4010 | |
| (502) 219-3488 | |
| (502) 406-3488 |
| Full Name | Kentucky Services, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3150 Custer Dr Ste 202, Lexington, Kentucky |
| Authorized Official Name and Position | Mary Jarnagin (OWNER) |
| Authorized Official Contact | 8592279266 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kentucky Services, Llc 3150 Custer Dr Ste 203 Lexington KY 40517-4010 Ph: (502) 219-3488 | Kentucky Services, Llc 3150 Custer Dr Ste 202 Lexington KY 40517-4010 Ph: (502) 219-3488 |
| NPI Number | 1609448059 |
|---|---|
| Provider Enumeration Date | 07/14/2021 |
| Last Update Date | 10/16/2023 |
| Certification Date | 10/16/2023 |
| Medicare PECOS PAC ID | 1254716780 |
|---|---|
| Medicare Enrollment ID | O20220919002454 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609448059 | NPI | - | NPPES |
| 7100755470 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Cheryl Marrs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184096794 PECOS PAC ID: 9335447986 Enrollment ID: I20160414000725 |
| Provider Name | Mira Daugherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992207088 PECOS PAC ID: 0446505549 Enrollment ID: I20180613001735 |
| Provider Name | Clara E Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578032520 PECOS PAC ID: 3577981679 Enrollment ID: I20200921003003 |
| Provider Name | Erin M Patrick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003462318 PECOS PAC ID: 7012301633 Enrollment ID: I20220224002594 |
| Provider Name | Shanna Huff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407587694 PECOS PAC ID: 6901273978 Enrollment ID: I20221103001475 |
| Provider Name | Colleen Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265075238 PECOS PAC ID: 5294106365 Enrollment ID: I20230127001645 |
Alexander J. Tikhtman, M.d., P.s.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1517 Nicholasville Rd, Suite 403, Lexington, KY 40503 Phone: 859-276-6168 Fax: 859-276-0850 | |
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Thomas-peeples & Associates, Psc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 Dennis Dr, Lexington, KY 40503 Phone: 859-278-4775 Fax: 859-373-0018 | |
Kvc Behavorial Healthcare Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Beasley St, Lexington, KY 40509 Phone: 859-254-1035 | |
Momo Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 162 Glenn Pl, Lexington, KY 40505 Phone: 502-509-9436 | |
Andre N. Fernandez Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Darby Creek Rd, Suite 21, Lexington, KY 40509 Phone: 859-263-9305 Fax: 859-264-1169 | |
Mended Counseling & Trauma Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 824 Euclid Ave Ste A102, Lexington, KY 40502 Phone: 859-338-0006 |