Miranda C Russell, LMHSP, LPC is a
Counselor - Mental Health based in Bean Station, Tennessee. Miranda C Russell is licensed to practice in Tennessee (license number 2347) and her current practice location is
105 Rowdy Row, Bean Station, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(865) 767-3074.
NPI number for Miranda C Russell is 1346572591 and her current mailing address is 438 Treadway Cir, Thorn Hill, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1346572591.
Healthcare Provider's Profile
Full Name | Miranda C Russell |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 105 Rowdy Row, Bean Station, Tennessee |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1346572591
- Provider Enumeration Date: 02/12/2010
- Last Update Date: 10/02/2024
Medical Identifiers
Medical identifiers for Miranda C Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346572591 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 2347 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miranda C Russell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Miranda C Russell, LMHSP, LPC 438 Treadway Cir, Thorn Hill, TN 37881-5039 Ph: (423) 733-9359 | Miranda C Russell, LMHSP, LPC 105 Rowdy Row, Bean Station, TN 37708 Ph: (865) 767-3074 |
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