| Kilgore Samaritan Counseling Center | |
|
918 Ormsby Ln Louisville KY 40242-4536 | |
| (502) 327-4622 | |
| (502) 327-4675 |
| Full Name | Kilgore Samaritan Counseling Center |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 918 Ormsby Ln, Louisville, Kentucky |
| Authorized Official Name and Position | Barry G Winstead (CLINICAL DIRECTOR) |
| Authorized Official Contact | 5023274622 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kilgore Samaritan Counseling Center 918 Ormsby Ln. Louisville KY 40242-4536 Ph: (502) 327-4622 | Kilgore Samaritan Counseling Center 918 Ormsby Ln Louisville KY 40242-4536 Ph: (502) 327-4622 |
| NPI Number | 1831294586 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 07/21/2022 |
| Certification Date | 02/22/2021 |
| Medicare PECOS PAC ID | 6608892849 |
|---|---|
| Medicare Enrollment ID | O20051018000478 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831294586 | NPI | - | NPPES |
| Provider Name | James L Mcgee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598972887 PECOS PAC ID: 7618268624 Enrollment ID: I20160622002191 |
| Provider Name | Thomas D Terwilliger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841722238 PECOS PAC ID: 2062763238 Enrollment ID: I20180927000614 |
| Provider Name | Barry G Winstead |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1710934963 PECOS PAC ID: 9537400015 Enrollment ID: I20240328002918 |
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