Clancy Kiener, MMFT | |
902 S High St, Columbia, TN 38401-3204 | |
(931) 490-6510 | |
(931) 381-0945 |
Full Name | Clancy Kiener |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 902 S High St, Columbia, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891072989 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Family Care Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124756085 PECOS PAC ID: 5991064420 Enrollment ID: O20230501001893 |
Mailing Address | Practice Location Address |
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Clancy Kiener, MMFT 902 S High St, Columbia, TN 38401-3204 Ph: (931) 490-6510 | Clancy Kiener, MMFT 902 S High St, Columbia, TN 38401-3204 Ph: (931) 490-6510 |
Rebecca Diane Hill, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1222 Medical Center Dr, Columbia, TN 38401 Phone: 931-490-1585 Fax: 931-490-1505 | |
Ms. Michele Yvonne Davis, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 Dyer St, Suite 1, Columbia, TN 38401 Phone: 931-560-4220 Fax: 931-560-4221 | |
Ms. Charlene Brooks, B.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1222 Medical Center Dr, Columbia, TN 38401 Phone: 931-490-1500 Fax: 931-490-1505 | |
Donna English, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1222 Medical Center Dr, Columbia, TN 38401 Phone: 931-490-1500 | |
Mrs. Nioka Fawn Montgomery, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6011 Trotwood Ave # A, Columbia, TN 38401 Phone: 931-560-3061 Fax: 931-560-3062 | |
Mark Zachary Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 Dyer St, Suite 1, Columbia, TN 38401 Phone: 931-560-4220 Fax: 931-560-4221 | |
Kristy Kay Jakes, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1222 Medical Center Dr, Columbia, TN 38401 Phone: 931-490-1585 Fax: 931-490-1505 |