Protea Behavioral Health Counseling, Pllc | |
80 Highway 2227 Somerset KY 42503 | |
(937) 475-2702 | |
Not Available |
Full Name | Protea Behavioral Health Counseling, Pllc |
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Speciality | Counselor |
Location | 80 Highway 2227, Somerset, Kentucky |
Authorized Official Name and Position | Kristen Fields (OWNER) |
Authorized Official Contact | 6064854003 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Protea Behavioral Health Counseling, Pllc 80 Highway 2227 Somerset KY 42503 Ph: (937) 475-2702 | Protea Behavioral Health Counseling, Pllc 80 Highway 2227 Somerset KY 42503 Ph: (937) 475-2702 |
NPI Number | 1205429800 |
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Provider Enumeration Date | 02/15/2021 |
Last Update Date | 06/10/2024 |
Certification Date | 06/10/2024 |
Medicare PECOS PAC ID | 9436510500 |
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Medicare Enrollment ID | O20230804003512 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205429800 | NPI | - | NPPES |
7100723630 | Medicaid | KY | |
7100825800 | Medicaid | KY | |
0490416 | Medicaid | OH | |
7100781560 | Medicaid | KY |
Provider Name | Melissa Dye |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609445626 PECOS PAC ID: 7517328685 Enrollment ID: I20230824002083 |
Provider Name | Monica Joy Bolton |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1902431133 PECOS PAC ID: 6204270580 Enrollment ID: I20240214002236 |
Provider Name | Theresa Lynn Rust |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1093197089 PECOS PAC ID: 9335500404 Enrollment ID: I20240311003468 |
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