Appalachian Community Care LLC
Organization Active NPI Professional Counselor · Harlan, KY
NPI 1619631926 · NPPES record last updated Nov 15, 2021
Key facts
- NPI
- 1619631926
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Professional Counselor 101YP2500X
- Legal business name
- APPALACHIAN COMMUNITY CARE LLC
- Practice address
- 100 Professional LN, Ste 201
Harlan, KY 40831-2590 - Phone
- (606) 633-4979
- NPI assigned
- Oct 25, 2021
- Organization subpart
- No
Authorized official
- Name
- Lovonne Fleming-Richardson, LPCC
- Title
- Owner
- Phone
- (606) 253-3045
Corporate family (same tax ID) 4
National Provider Directory
- Tax ID family
- Appalachian Community Care LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | Yes |
Addresses
Primary practice location
100 Professional LN, Ste 201
Harlan, KY 40831-2590
Mailing address
7145 E Virginia St Ste 2000
Evansville, IN 47715-9147
Phone (812) 962-7890
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100776490 | Medicaid | KY | |
| 18D2192707 | Other | KY | CLIA |
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All providers in Harlan, KY · Professional 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 Nov 15, 2021. 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.