| Victory Counseling | |
|
20 Lovell Court Mt Vernon KY 40456 | |
| (606) 401-2075 | |
| Not Available |
| Full Name | Victory Counseling |
|---|---|
| Speciality | Counselor |
| Location | 20 Lovell Court, Mt Vernon, Kentucky |
| Authorized Official Name and Position | Angela Silva (OWNER) |
| Authorized Official Contact | 6064012075 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Victory Counseling Po Box 72 Mount Vernon KY 40456-0072 Ph: (606) 401-2075 | Victory Counseling 20 Lovell Court Mt Vernon KY 40456 Ph: (606) 401-2075 |
| NPI Number | 1174144307 |
|---|---|
| Provider Enumeration Date | 04/28/2020 |
| Last Update Date | 06/01/2021 |
| Certification Date | 06/01/2021 |
| Medicare PECOS PAC ID | 0446659809 |
|---|---|
| Medicare Enrollment ID | O20210604001740 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174144307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Rebecca D Dorsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770984841 PECOS PAC ID: 8325356611 Enrollment ID: I20210713003611 |
| Provider Name | Angela Silva |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700274248 PECOS PAC ID: 7911309000 Enrollment ID: I20240313001266 |