Mr Kenneth Eugene Smith Iii, LPC, MAC | |
5736 Manchester Hwy, Morrison, TN 37357 | |
(931) 815-3871 | |
(931) 815-3876 |
Full Name | Mr Kenneth Eugene Smith Iii |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 5736 Manchester Hwy, Morrison, Tennessee |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396913778 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | LPC0000003229 (Tennessee) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Kenneth Eugene Smith Iii, LPC, MAC 5736 Manchester Hwy, Morrison, TN 37357-7503 Ph: (931) 815-3871 | Mr Kenneth Eugene Smith Iii, LPC, MAC 5736 Manchester Hwy, Morrison, TN 37357 Ph: (931) 815-3871 |
Tyra Shae Quintana, M.A. LPC-MHSP (TEMP) Counselor Medicare: Medicare Enrolled Practice Location: 5736 Manchester Hwy, Morrison, TN 37357 Phone: 931-815-3871 | |
Mrs. Judy Ann Johnson, LPC-MHSP, LCAS, CCS Counselor Medicare: Medicare Enrolled Practice Location: 5736 Manchester Hwy, Morrison, TN 37357 Phone: 931-815-3872 |