MEDICARE: RHONDA DAWN BEGLEY LPCC, TCADC

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	174833	KY
2	101YP2500X	Professional Counselor	175282	KY

General Provider Information

NPI Number	:	1629576103
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RHONDA DAWN BEGLEY LPCC, TCADC

Provider Business Mailing Address
First Line	:	10150 NEW COLUMBIA RD
Second Line	:
City	:	CAMPBELLSVILLE
State	:	KY
Zip	:	42718-9187
Country	:	US
Telephone Number	:	270-250-2075
Fax Number	:

Provider Business Practice Location Address
First Line	:	703 E STEVE WARINER DR
Second Line	:
City	:	RUSSELL SPRINGS
State	:	KY
Zip	:	42642-4233
Country	:	US
Telephone Number	:	502-373-0117
Fax Number	:	270-866-4022

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

Provider Enumeration Date	:	01/30/2018
Last Update Date	:	11/25/2019

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