Mr Tim A Perry, LPC MHSP MA | |
26 Midway St, Bristol Regional Counseling Center, Bristol, TN 37620 | |
(423) 989-4500 | |
(423) 989-4568 |
Full Name | Mr Tim A Perry |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 26 Midway St, Bristol, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891884102 | NPI | - | NPPES |
351654200 | Other | DOL WORKERS COMP | |
620582605 | Other | THREE RIVERS PROVI GROUP | |
620582605 | Other | HIGHLANDS WELLMONT | |
620582605 | Other | INITIAL GROUP GROUP | |
010149380 | Other | VIRGINIA MEDICAID BRCC | |
217324 | Other | ANTHEM PROF TRIGON | |
334969 | Other | VALUEOPTIONS GROUP | |
4013483 | Other | MAGELLAN NAVIGATOR | |
620582605 | Other | BEECH STREET | |
620582605 | Other | CORPHEALTH | |
269963 | Other | COMPSYCH | |
010149371 | Other | VIRGINIA MEDICAID JOHNSON | |
4013483 | Other | MAGELLAN SUMMIT | |
4013483 | Other | MAGELLAN PINNACLE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | LPC1447 (Tennessee) | Secondary |
101YP2500X | Counselor - Professional | 1447 (Tennessee) | Primary |
Entity Name | Frontier Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720147408 PECOS PAC ID: 2860302320 Enrollment ID: O20040109000560 |
Mailing Address | Practice Location Address |
---|---|
Mr Tim A Perry, LPC MHSP MA 1167 Spratlin Park Dr, Gray, TN 37615-6205 Ph: (423) 467-3600 | Mr Tim A Perry, LPC MHSP MA 26 Midway St, Bristol Regional Counseling Center, Bristol, TN 37620 Ph: (423) 989-4500 |
Diana Allison Souther, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1745 King College Rd, Bristol, TN 37620 Phone: 423-328-1289 | |
Ms. Amanda Michelle Keener, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 5th St Ste 310, Bristol, TN 37620 Phone: 833-928-1484 | |
Jennifer Lauren Heglar, Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 5th St Ste 310, Bristol, TN 37620 Phone: 865-909-7131 | |
Mrs. Amy Lynn Greene, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 26 Midway St, Bristol, TN 37620 Phone: 423-989-4500 Fax: 423-989-4582 | |
Miss Katherine Ellen Debusk, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 26 Midway St, Bristor Regional Counseling Center, Bristol, TN 37620 Phone: 423-989-4500 Fax: 423-989-4568 | |
Dr. Marie Eileen Crawford, PHD Counselor Medicare: May Accept Medicare Assignments Practice Location: 739 Bluff City Hwy, Suite 5, Bristol, TN 37620 Phone: 423-217-1097 Fax: 423-217-1069 | |
Ladonna L Groves, LPC, MHSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1145 Volunteer Pkwy, Bristol, TN 37620 Phone: 423-989-4500 Fax: 423-989-4582 |