| Yellow Sage Counseling | |
|
562 N Dixie Blvd Ste B4 Radcliff KY 40160-1366 | |
| (270) 317-1318 | |
| Not Available |
| Full Name | Yellow Sage Counseling |
|---|---|
| Speciality | Counselor |
| Location | 562 N Dixie Blvd Ste B4, Radcliff, Kentucky |
| Authorized Official Name and Position | Amanda Lacefield (MANAGING MEMBER) |
| Authorized Official Contact | 2703171318 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yellow Sage Counseling 1019 Fairview Ave Radcliff KY 40160-2407 Ph: () - | Yellow Sage Counseling 562 N Dixie Blvd Ste B4 Radcliff KY 40160-1366 Ph: (270) 317-1318 |
| NPI Number | 1306565635 |
|---|---|
| Provider Enumeration Date | 08/22/2022 |
| Last Update Date | 08/22/2022 |
| Certification Date | 08/22/2022 |
| Medicare PECOS PAC ID | 9830538784 |
|---|---|
| Medicare Enrollment ID | O20240411004180 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306565635 | NPI | - | NPPES |
| Provider Name | Amanda Lacefield |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235435736 PECOS PAC ID: 0345689295 Enrollment ID: I20240411004386 |
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