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NPI Code Detail

MEDICARE: MS. KELLY ELIZABETH GARRINGER-MACCABE LPCC

MEDICARE: MS. KELLY ELIZABETH GARRINGER-MACCABE LPCC
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
1101YP2500XProfessional Counselor172152KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194242743
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KELLY ELIZABETH GARRINGER-MACCABE LPCC
Provider Business Mailing Address
First Line : 448 LEWIS HARGETT CIR STE 260
Second Line :
City : LEXINGTON
State : KY
Zip : 40503-3506
Country : US
Telephone Number : 859-338-0466
Fax Number : 859-294-0802
Provider Business Practice Location Address
First Line : 448 LEWIS HARGETT CIR STE 260
Second Line :
City : LEXINGTON
State : KY
Zip : 40503-3506
Country : US
Telephone Number : 859-338-0466
Fax Number : 859-294-0802
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2017
Last Update Date : 10/25/2023

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