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NPI Code Detail

MEDICARE: MRS. TONYA L GREGORY LMFT

MEDICARE: MRS. TONYA L GREGORY LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistKY-0599KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
111737951OTHERKYCAQH

General Provider Information

NPI Number : 1295831436
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TONYA L GREGORY LMFT
Provider Business Mailing Address
First Line : PO BOX 1080
Second Line :
City : BURKESVILLE
State : KY
Zip : 42717-1080
Country : US
Telephone Number : 270-858-6655
Fax Number : 270-858-4027
Provider Business Practice Location Address
First Line : 6350 OLD SCOTTSVILLE RD
Second Line :
City : ALVATON
State : KY
Zip : 42122-9767
Country : US
Telephone Number : 844-435-0900
Fax Number : 270-858-4029
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2006
Last Update Date : 08/14/2025

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