Joanna Peck, | |
112 S David Ln, Knoxville, TN 37922-3203 | |
(865) 637-9711 | |
Not Available |
Full Name | Joanna Peck |
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Gender | Female |
Speciality | Counselor |
Location | 112 S David Ln, Knoxville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578939088 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 4788 (Tennessee) | Primary |
Entity Name | Knoxville Mindful Wellness Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902375942 PECOS PAC ID: 6204258106 Enrollment ID: O20200623001563 |
Mailing Address | Practice Location Address |
---|---|
Joanna Peck, 112 S David Ln, Knoxville, TN 37922-3203 Ph: (865) 407-0071 | Joanna Peck, 112 S David Ln, Knoxville, TN 37922-3203 Ph: (865) 637-9711 |
Alicia Cox, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 W Springdale Ave, Knoxville, TN 37917 Phone: 865-329-9173 | |
Hazel F Brady, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6800 Baum Dr, Building 1, Knoxville, TN 37919 Phone: 865-374-7100 | |
Mr. Richard Pardue, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 W Springdale Ave, Knoxville, TN 37917 Phone: 865-637-9711 | |
Joy Chamberlin, R.N. Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 W Springdale Ave, Knoxville, TN 37917 Phone: 865-637-9711 | |
Zibe Holton, HS Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 W Springdale Ave, Knoxville, TN 37917 Phone: 865-637-9711 | |
Travis Kobler, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 4308 Gap Road, Knoxville, TN 37912 Phone: 865-525-0391 Fax: 865-525-0393 | |
Aaron Brett Clark, LPC-MHSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 3720 N Broadway St, Knoxville, TN 37917 Phone: 423-742-5247 |