| Mckena Tichenor, Llc | |
|
1210 4th Street Lewisport KY 42351-2526 | |
| (270) 302-5463 | |
| Not Available |
| Full Name | Mckena Tichenor, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1210 4th Street, Lewisport, Kentucky |
| Authorized Official Name and Position | Mckena Tichenor (THERAPIST) |
| Authorized Official Contact | 2702956450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mckena Tichenor, Llc Po Box 297 Lewisport KY 42351-0297 Ph: (270) 302-5463 | Mckena Tichenor, Llc 1210 4th Street Lewisport KY 42351-2526 Ph: (270) 302-5463 |
| NPI Number | 1689194987 |
|---|---|
| Provider Enumeration Date | 06/27/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689194987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 173598 (Kentucky) | Primary |
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