Ms Lisa D Bausell, LPC, CEAP | |
701 Med Tech Pkwy Ste 201, Johnson City, TN 37604-2365 | |
(423) 283-7302 | |
Not Available |
Full Name | Ms Lisa D Bausell |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 701 Med Tech Pkwy Ste 201, Johnson City, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932400405 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 1471 (Tennessee) | Primary |
Entity Name | Blue Ridge Medical Management Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144380833 PECOS PAC ID: 9739099441 Enrollment ID: O20031204000996 |
Entity Name | Wellmont Medical Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780986257 PECOS PAC ID: 8123291739 Enrollment ID: O20111026000909 |
Mailing Address | Practice Location Address |
---|---|
Ms Lisa D Bausell, LPC, CEAP 1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192 Ph: (423) 302-6565 | Ms Lisa D Bausell, LPC, CEAP 701 Med Tech Pkwy Ste 201, Johnson City, TN 37604-2365 Ph: (423) 283-7302 |
Mrs. Vicki Marie Britton, B.S Counselor Medicare: Not Enrolled in Medicare Practice Location: 3915 Bristol Hwy, Suite 202, Johnson City, TN 37601 Phone: 423-283-6556 Fax: 423-283-6550 | |
Hayley Christian Henderson, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 109 West Watauga Avenue, Watauga C&y, Johnson City, TN 37604 Phone: 423-232-2600 Fax: 423-467-3644 | |
Matthew M Midkiff, LPC, MHSP Counselor Medicare: Medicare Enrolled Practice Location: 109 W Watauga Ave, Johnson City, TN 37604 Phone: 423-232-2600 Fax: 423-467-3644 | |
Neil Stoltzfus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 926 W Oakland Ave Ste 202, Johnson City, TN 37604 Phone: 423-850-1150 | |
Michael Arthur Benoit, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3915 Bristol Hwy, Suite 202, Johnson City, TN 37601 Phone: 423-283-6500 Fax: 423-283-6550 | |
Dr. Nicholas Porta, PSYD Counselor Medicare: Medicare Enrolled Practice Location: 2514 1/2 Wesley St Ste 2, Johnson City, TN 37601 Phone: 423-529-0385 Fax: 423-414-2699 | |
Jessica Cabe, LPC-MHSP Counselor Medicare: Medicare Enrolled Practice Location: 3114 Browns Mill Rd, Johnson City, TN 37604 Phone: 423-631-0432 |