| Whitley Counseling, Llc | |
|
218 Breckinridge Dr Versailles KY 40383-1239 | |
| (502) 465-5005 | |
| Not Available |
| Full Name | Whitley Counseling, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 218 Breckinridge Dr, Versailles, Kentucky |
| Authorized Official Name and Position | Rebecca Whitley (OWNER/CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8595335434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Whitley Counseling, Llc Po Box 176 Versailles KY 40383-0176 Ph: (502) 465-5005 | Whitley Counseling, Llc 218 Breckinridge Dr Versailles KY 40383-1239 Ph: (502) 465-5005 |
| NPI Number | 1740945807 |
|---|---|
| Provider Enumeration Date | 11/03/2021 |
| Last Update Date | 11/03/2021 |
| Certification Date | 09/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740945807 | NPI | - | NPPES |
| 000001287562 | Other | KY | ANTHEM |
| 7100605830 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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