| Wellsprings Wellness Of Lake Cumberland | |
|
200 Belmont Ave Somerset KY 42501-2419 | |
| (606) 687-2038 | |
| (606) 200-3654 |
| Full Name | Wellsprings Wellness Of Lake Cumberland |
|---|---|
| Speciality | Counselor |
| Location | 200 Belmont Ave, Somerset, Kentucky |
| Authorized Official Name and Position | Tricia L Whitaker (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6066872038 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellsprings Wellness Of Lake Cumberland Po Box 3044 West Somerset KY 42564-3044 Ph: (606) 687-2038 | Wellsprings Wellness Of Lake Cumberland 200 Belmont Ave Somerset KY 42501-2419 Ph: (606) 687-2038 |
| NPI Number | 1053828293 |
|---|---|
| Provider Enumeration Date | 01/09/2018 |
| Last Update Date | 05/22/2024 |
| Certification Date | 05/22/2024 |
| Medicare PECOS PAC ID | 9537420898 |
|---|---|
| Medicare Enrollment ID | O20180228002941 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053828293 | NPI | - | NPPES |
| 7100504900 | Medicaid | KY |
| Provider Name | Angela J Aaron |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962866368 PECOS PAC ID: 4082023031 Enrollment ID: I20210504002741 |
| Provider Name | Stephanie Barnes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326563727 PECOS PAC ID: 3476952136 Enrollment ID: I20210528001573 |
| Provider Name | Brooke Elder |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134702004 PECOS PAC ID: 4981078193 Enrollment ID: I20240212000400 |
| Provider Name | Kendra M Patton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396237517 PECOS PAC ID: 7719320209 Enrollment ID: I20240212003999 |
| Provider Name | Letitia Holland-cundiff |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922155019 PECOS PAC ID: 8426498957 Enrollment ID: I20240501002845 |
| Provider Name | Carrie Collins Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376118448 PECOS PAC ID: 0648612119 Enrollment ID: I20240529003097 |
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