| Mr Larry Shane Wyatt, LPC | |
|
261 Yvonne Ave, Crossville, TN 38555-4735 | |
| (931) 456-2859 | |
| (931) 707-8921 |
| Full Name | Mr Larry Shane Wyatt |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 261 Yvonne Ave, Crossville, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285027003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 3239 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Larry Shane Wyatt, LPC 261 Yvonne Ave, Crossville, TN 38555-4735 Ph: (931) 456-2859 | Mr Larry Shane Wyatt, LPC 261 Yvonne Ave, Crossville, TN 38555-4735 Ph: (931) 456-2859 |
Elizabeth Sue Eaves, LPC-MHSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 178 Hillsway, Crossville, TN 38555 Phone: 931-261-8230 | |
Jonathan Scott Hull, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 279 Hickory Hollow Dr, Crossville, TN 38555 Phone: 931-484-8342 | |
Mr. George Thomas Netherton, LPC LPE LADAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 261 Yvonne Avenue, Crossville, TN 38555 Phone: 931-707-8921 Fax: 931-707-8921 | |
Felisha Gabrielle Baxter, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 724 Hillcrest Dr, Crossville, TN 38555 Phone: 931-337-1809 | |
Robin Browning Hull, ED.S., L.P.C. Counselor Medicare: Medicare Enrolled Practice Location: 279 Hickory Hollow Dr, Crossville, TN 38555 Phone: 931-484-8342 | |
Jan Boston Sellers, PHD, LPC, Counselor Medicare: Medicare Enrolled Practice Location: 261 Yvonne Ave, Crossville, TN 38555 Phone: 931-456-2859 Fax: 931-797-8921 |