| Psychmind Counseling And Psychiatry Llc | |
|
330 Eastern Byp Ste 1 Richmond KY 40475-2786 | |
| (859) 328-2473 | |
| (859) 545-4701 |
| Full Name | Psychmind Counseling And Psychiatry Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 330 Eastern Byp Ste 1, Richmond, Kentucky |
| Authorized Official Name and Position | Robert Tyler Blevins (ADMINISTRATIVE) |
| Authorized Official Contact | 8593282473 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychmind Counseling And Psychiatry Llc 330 Eastern Byp Ste 1 Richmond KY 40475-2786 Ph: (859) 328-2473 | Psychmind Counseling And Psychiatry Llc 330 Eastern Byp Ste 1 Richmond KY 40475-2786 Ph: (859) 328-2473 |
| NPI Number | 1184337412 |
|---|---|
| Provider Enumeration Date | 01/02/2023 |
| Last Update Date | 09/25/2024 |
| Certification Date | 09/21/2024 |
| Medicare PECOS PAC ID | 6901279918 |
|---|---|
| Medicare Enrollment ID | O20230526002112 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184337412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Rhonda Regina Blevins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124570874 PECOS PAC ID: 6305126301 Enrollment ID: I20161208002287 |
| Provider Name | Meredith Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366777351 PECOS PAC ID: 0244490399 Enrollment ID: I20180806002531 |
| Provider Name | Rebecca Brandenburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104393925 PECOS PAC ID: 8426392333 Enrollment ID: I20181204002107 |
| Provider Name | Tina Shelton-coomer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821569393 PECOS PAC ID: 9931445780 Enrollment ID: I20190115002896 |
| Provider Name | Amy L Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639224330 PECOS PAC ID: 6901264696 Enrollment ID: I20230628002424 |
| Provider Name | Megan Vonhandorf |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982399770 PECOS PAC ID: 5597113803 Enrollment ID: I20231128000505 |
| Provider Name | April Lowe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942617725 PECOS PAC ID: 3173973732 Enrollment ID: I20231221002711 |
| Provider Name | Patricia Garrett Fearing |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841771557 PECOS PAC ID: 4284087172 Enrollment ID: I20240126002332 |
| Provider Name | Megan Perkins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265974828 PECOS PAC ID: 8729431671 Enrollment ID: I20240127000606 |
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