Dominic Alleva, LPC | |
117 Bland Dr, Mount Juliet, TN 37122-4303 | |
(847) 489-9429 | |
Not Available |
Full Name | Dominic Alleva |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 117 Bland Dr, Mount Juliet, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538541354 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 4204 (Tennessee) | Primary |
Entity Name | Healthy Mind Counseling Services, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457409898 PECOS PAC ID: 8325093081 Enrollment ID: O20070827000096 |
Mailing Address | Practice Location Address |
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Dominic Alleva, LPC 117 Bland Dr, Mount Juliet, TN 37122-4303 Ph: (847) 489-9429 | Dominic Alleva, LPC 117 Bland Dr, Mount Juliet, TN 37122-4303 Ph: (847) 489-9429 |
Mr. Jacob Daniel Dye, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 9053 Couchville Pike, Mount Juliet, TN 37122 Phone: 615-900-7267 | |
Lori Page, LPC-MHSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 5000 Crossings Cir Ste 103, Mount Juliet, TN 37122 Phone: 615-860-0110 | |
Susan Morgan, LADAC II Counselor Medicare: Not Enrolled in Medicare Practice Location: 1645 Corinth Rd, Mount Juliet, TN 37122 Phone: 615-481-3211 | |
Raquel Jackson Shutze, LPC-MHSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 311 W Division St, Mount Juliet, TN 37122 Phone: 601-297-3132 | |
Ashley Jenise Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2031 N Mount Juliet Rd Ste 201, Mount Juliet, TN 37122 Phone: 615-438-3615 | |
Dr. Phillip L. Blansett, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1621 Eagle Trace Dr, Mount Juliet, TN 37122 Phone: 615-758-3810 Fax: 253-322-4905 | |
Jordan Ashley Shiflett, LPC-MHSP Counselor Medicare: Medicare Enrolled Practice Location: 5000 Crossings Circle Suite 103, Mount Juliet, TN 37122 Phone: 615-208-9549 |