MEDICARE: CARMEN EBY

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
1	101YP2500X	Professional Counselor	300641	KY

General Provider Information

NPI Number	:	1225995939
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARMEN EBY

Provider Business Mailing Address
First Line	:	2717 CRYSTAL FALLS RD
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40509-4210
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	880 CORPORATE DR
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40503-5400
Country	:	US
Telephone Number	:	859-554-0740
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/06/2026
Last Update Date	:	01/06/2026

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Directions to “ CARMEN EBY ” Practice Location

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