| Shelby Counseling Associates, Psc | |
|
30 Stonecrest Ct Ste 103 Shelbyville KY 40065-8173 | |
| (502) 633-2025 | |
| (502) 254-8870 |
| Full Name | Shelby Counseling Associates, Psc |
|---|---|
| Speciality | Counselor |
| Location | 30 Stonecrest Ct, Shelbyville, Kentucky |
| Authorized Official Name and Position | Nichole Jeanine Broyles (OFFICE MANAGER) |
| Authorized Official Contact | 5022548880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shelby Counseling Associates, Psc 12701 Townepark Way Barkley Bldg Ste 200 Louisville KY 40243-2387 Ph: (502) 254-8880 | Shelby Counseling Associates, Psc 30 Stonecrest Ct Ste 103 Shelbyville KY 40065-8173 Ph: (502) 633-2025 |
| NPI Number | 1568659498 |
|---|---|
| Provider Enumeration Date | 09/25/2007 |
| Last Update Date | 04/25/2017 |
| Medicare PECOS PAC ID | 4385617679 |
|---|---|
| Medicare Enrollment ID | O20040816000457 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568659498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Margaret S Welter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942357249 PECOS PAC ID: 5395772255 Enrollment ID: I20050721000885 |
| Provider Name | Rachelle D Felty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952360661 PECOS PAC ID: 7719986413 Enrollment ID: I20061206000449 |
| Provider Name | Rodney E Young |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891098687 PECOS PAC ID: 2062656333 Enrollment ID: I20130926000786 |
| Provider Name | Michele Nicole Werts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902061740 PECOS PAC ID: 3971856774 Enrollment ID: I20181024002468 |
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