Puckett, Peggy Smith

Puckett, Peggy Smith is an sole proprietor health care provider with primary practice located at 2130 Willie Groce Rd , Glasgow KY 42141-7831. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Puckett, Peggy Smith can be contacted via phone (270) 791-2178.

Contact Information

Primary practice address
2130 Willie Groce Rd Glasgow KY 42141-7831
Phone: (270) 791-2178
Fax: (270) 710-1794
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0615 Kentucky

Profile Details

NPI number 1518943133
LBN Legal business name Puckett, Peggy Smith
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2005
Last updated Nov 17th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518943133 NPPES
Kentucky MEDICAID 7100059670
Kentucky Other 11508376
Kentucky MEDICAID 7100059630
Kentucky Other 000000537338

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