| Positive Directions Ii Llc | |
|
111 N Main St Cynthiana KY 41031-1206 | |
| (859) 235-0800 | |
| (859) 235-0800 |
| Full Name | Positive Directions Ii Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 111 N Main St, Cynthiana, Kentucky |
| Authorized Official Name and Position | Deborah Spicer (SOLE OWNER) |
| Authorized Official Contact | 8592350800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Positive Directions Ii Llc 111 N Main St Cynthiana KY 41031-1206 Ph: (859) 235-0800 | Positive Directions Ii Llc 111 N Main St Cynthiana KY 41031-1206 Ph: (859) 235-0800 |
| NPI Number | 1881736791 |
|---|---|
| Provider Enumeration Date | 02/14/2007 |
| Last Update Date | 05/08/2013 |
| Medicare PECOS PAC ID | 2961435698 |
|---|---|
| Medicare Enrollment ID | O20050914000171 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881736791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1647 (Kentucky) | Primary |
| Provider Name | Deborah Roberts Spicer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720163165 PECOS PAC ID: 9638125065 Enrollment ID: I20050330000239 |
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