Charlotte R Anderson, MA
Individual provider Active NPI Mental Health Counselor · Lawrenceburg, KY
NPI 1104086792 · NPPES record last updated Jun 17, 2008
Key facts
- NPI
- 1104086792
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 1060 Glensboro Rd
Lawrenceburg, KY 40342-9033 - Phone
- (859) 253-1686
- Fax
- (859) 254-2743
- NPI assigned
- Jun 17, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
1060 Glensboro Rd
Lawrenceburg, KY 40342-9033
Mailing address
1351 Newtown Pike
Lexington, KY 40511-1217
Phone (859) 253-1686
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790731081 | Medicaid | KY |
Other providers in Lawrenceburg, KY
- Anderson County Health Dept
- Anderson County Schools
- Anderson County Treasurer
- Anderson Pharmacist Group LLC
- Anderson Primary Care LLC
- Aphrodite Aesthetics LLC
- Arc Clinical Solutions
- Arthur Pangemanan DC LLC
- Chloe Lane Bailey
- Kenneth Bain
All providers in Lawrenceburg, KY · Mental Health Counselor in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.