Individual ProviderBrittany Bundy WilsonCounselorBehavioral Health & Social Service ProvidersPractice Address4885 Houston Rd Ste 200, Florence, KY 41042-4894(606) 682-0025PECOS EnrollmentBased on the most recent information from CMS, provider Brittany Bundy Wilson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1639519234Provider TypeIndividualFull NameWilson, Brittany BundyTitleMissCredentialLPCC-SGenderFemaleSole ProprietorNoEnumeration Date6/27/2013Last Updated2/11/2025Contact InformationPractice LocationPractice Address4885 Houston Rd Ste 200, Florence, KY 41042-4894Phone(606) 682-0025FaxUnlisted FaxMailing LocationMailing Address108 Fern Hill Dr, Georgetown, KY 40324-9759Phone(606) 682-0025FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode101Y00000XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense104084KentuckyCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense1224Kentucky