|
| |
|
110 Roach St Georgetown KY 40324-9393 | |
| (859) 253-1686 | |
| (859) 254-2743 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 110 Roach St, Georgetown, Kentucky |
| Authorized Official Name and Position | Dee Werline (PRESIDENT/CEO) |
| Authorized Official Contact | 8592531686 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1351 Newtown Pike Lexington KY 40511-1217 Ph: (859) 253-1686 | 110 Roach St Georgetown KY 40324-9393 Ph: (859) 253-1686 |
| NPI Number | 1598705568 |
|---|---|
| Provider Enumeration Date | 06/07/2006 |
| Last Update Date | 10/12/2020 |
| Certification Date | 10/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598705568 | NPI | - | NPPES |
| 30615058 | Medicaid | KY | |
| 101483 | Other | KY | CHA INSURANCE |
| 203669000 | Other | KY | MAGELLAN 116 |
| 29000003 | Medicaid | KY | |
| 28015014 | Medicaid | KY | |
| 33900119 | Medicaid | KY | |
| 000000057414 | Other | KY | ANTHEM |
| 27015015 | Medicaid | KY | |
| 091018 | Other | KY | VALUE OPTIONS |
| 242395 | Other | KY | COMPSYCH |
| 874068 | Other | KY | USA |
| 207023 | Other | KY | MHN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 800121 (Kentucky) | Primary |
Guided Healing Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1150 Paynes Depot Rd, Georgetown, KY 40324 Phone: 859-940-0375 Fax: 502-305-2114 | |
Ignite The Stars Behavioral Innovations, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 861 Rogers Gap Rd, Georgetown, KY 40324 Phone: 859-229-1328 | |
Oak Haven Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 E Main St Ste 1, Georgetown, KY 40324 Phone: 502-783-7449 | |
Next Step Behavioral Health Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 598 Shropshire Ln, Georgetown, KY 40324 Phone: 502-542-7471 | |
Synergy Psychiatry And Wellness, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 Champion Way Ste 7, Georgetown, KY 40324 Phone: 270-225-4033 |