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NPI Code Detail

MEDICARE: SKAGGS CONSULTING, PLLC

MEDICARE: SKAGGS CONSULTING, PLLC
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
1103T00000XPsychologist
21041C0700XClinical Social Worker
3363LP0808XPsychiatric/Mental Health Nurse Practitioner
4103TC0700XClinical Psychologist

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 : 1548869084
Entity Type Code : Organization
Provider Name (Legal Business Name) : SKAGGS CONSULTING, PLLC
Provider Business Mailing Address
First Line : 501 DARBY CREEK RD STE 41
Second Line :
City : LEXINGTON
State : KY
Zip : 40509-1671
Country : US
Telephone Number : 859-948-2824
Fax Number : 859-268-2472
Provider Business Practice Location Address
First Line : 501 DARBY CREEK RD STE 41
Second Line :
City : LEXINGTON
State : KY
Zip : 40509-1671
Country : US
Telephone Number : 859-948-2824
Fax Number : 859-268-2472
Authorized Official
Title or Position : OWNER
Name : EMILY E SKAGGS
Credential :
Telephone Number : 859-227-2337
Provider Enumeration Date : 10/24/2020
Last Update Date : 04/06/2021

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Directions to “SKAGGS CONSULTING, PLLC ” Practice Location

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