MEDICARE: HIGHLAND COUNSELING SERVICES, LLC

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	166094	KY

General Provider Information

NPI Number	:	1871047241
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HIGHLAND COUNSELING SERVICES, LLC

Provider Business Mailing Address
First Line	:	18 N FORT THOMAS AVE
Second Line	:	SUITE 109
City	:	FORT THOMAS
State	:	KY
Zip	:	41075-3098
Country	:	US
Telephone Number	:	859-462-0231
Fax Number	:

Provider Business Practice Location Address
First Line	:	18 N FORT THOMAS AVE
Second Line	:	SUITE 109
City	:	FORT THOMAS
State	:	KY
Zip	:	41075-3098
Country	:	US
Telephone Number	:	859-462-0231
Fax Number	:

Authorized Official
Title or Position	:	LICENSED PROFESSIONAL COUNSELOR
Name	:	MRS. MICHELLE AMANDA BRUG HATHORN
Credential	:
Telephone Number	:	859-462-0231

Provider Enumeration Date	:	08/15/2016
Last Update Date	:	08/15/2016

Similar Medicare Providers

1417901083 — WILLIAM STUART LYNNE L.P.P.
Practice Location Address:

18 N FORT THOMAS AVE
FORT THOMAS, KY
41075-3098

Practice Phone: 859-816-4279
Practice Fax:

1730364761 — ALBERT E BATHIANY IV DMD
Practice Location Address:

18 N FORT THOMAS AVE
FORT THOMAS, KY
41075-3098

Practice Phone: 859-781-4100
Practice Fax: 859-781-0170

1164685244 — DR MOHAMMED CHAUDHRY
Practice Location Address:

4819 RIVER OAKS BLVD
FORT WORTH, TX
76114-3098

Practice Phone: 817-626-9744
Practice Fax: 817-626-9962

1508101486 — NASIRA HUSSAIN KHAN PA-C
Practice Location Address:

4819 RIVER OAKS BLVD
FORT WORTH, TX
76114-3098

Practice Phone: 817-626-9744
Practice Fax: 817-626-9962

1659806511 — AYESHA KANWAL DO PLLC
Practice Location Address:

4819 RIVEROAKS BLVD
FORT WORTH, TX
76114-3098

Practice Phone: 817-626-9744
Practice Fax: 817-626-9962

1205363025 — YUKI BORT
Practice Location Address:

5551 CORNERSTONE DR UNIT E29
FORT COLLINS, CO
80528-3098

Practice Phone: 970-778-4637
Practice Fax:

Directions to “HIGHLAND COUNSELING SERVICES, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.