Mrs Liane Videres De Souza, LPC is a
Counselor - Professional based in Collegedale, Tennessee. Mrs Liane Videres De Souza is licensed to practice in Tennessee (license number LPC1630) and her current practice location is
4881 Taylor Circle, Collegedale, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(423) 236-2081.
NPI number for Mrs Liane Videres De Souza is 1619014768 and her current mailing address is Po Box 775, Collegedale, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619014768.
Healthcare Provider's Profile
Full Name | Mrs Liane Videres De Souza |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 4881 Taylor Circle, Collegedale, Tennessee |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619014768
- Provider Enumeration Date: 01/30/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Liane Videres De Souza such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619014768 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | LPC1630 (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. Mrs Liane Videres De Souza 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 |
Mrs Liane Videres De Souza, LPC Po Box 775, Collegedale, TN 37315-0775 Ph: (423) 236-2081 | Mrs Liane Videres De Souza, LPC 4881 Taylor Circle, Collegedale, TN 37315 Ph: (423) 236-2081 |
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