| |
401 Hoffman Dr Ste L Henderson KY 42420-3390 | |
(270) 826-5216 | |
(270) 826-2034 |
Full Name | |
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Speciality | Counselor |
Location | 401 Hoffman Dr Ste L, Henderson, Kentucky |
Authorized Official Name and Position | James Allan Hagman (OWNER) |
Authorized Official Contact | 2708265216 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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401 Hoffman Dr Ste L Henderson KY 42420-3390 Ph: (270) 826-5216 | 401 Hoffman Dr Ste L Henderson KY 42420-3390 Ph: (270) 826-5216 |
NPI Number | 1083278758 |
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Provider Enumeration Date | 04/27/2019 |
Last Update Date | 09/17/2024 |
Certification Date | 09/17/2024 |
Medicare PECOS PAC ID | 6709310311 |
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Medicare Enrollment ID | O20241105001795 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083278758 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
Provider Name | F. Keith Page |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1831125780 PECOS PAC ID: 4981138500 Enrollment ID: I20241105002299 |
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