Ms Lori Ann Boudreaux, MS, MED, LPC-MHSP | |
423 Medical Park Dr Ste 400, Lenoir City, TN 37772-5641 | |
(865) 271-6545 | |
Not Available |
Full Name | Ms Lori Ann Boudreaux |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 423 Medical Park Dr Ste 400, Lenoir 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 |
---|---|---|---|
1720292337 | NPI | - | NPPES |
1530582 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (Tennessee) | Secondary |
101YP2500X | Counselor - Professional | LPC0000002116 (Tennessee) | Primary |
Entity Name | Mental Health Resources, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922034503 PECOS PAC ID: 4587795018 Enrollment ID: O20210629000712 |
Mailing Address | Practice Location Address |
---|---|
Ms Lori Ann Boudreaux, MS, MED, LPC-MHSP 4420 Whittle Springs Road, Ste B, Knoxville, TN 37917 Ph: (865) 688-0661 | Ms Lori Ann Boudreaux, MS, MED, LPC-MHSP 423 Medical Park Dr Ste 400, Lenoir City, TN 37772-5641 Ph: (865) 271-6545 |
John Mason, Counselor Medicare: Not Enrolled in Medicare Practice Location: 423 Medical Park Dr, Suite 400, Lenoir City, TN 37772 Phone: 865-374-7100 | |
Nicole R Geerlof, Counselor Medicare: Not Enrolled in Medicare Practice Location: 423 Medical Park Dr, Suite 400, Lenoir City, TN 37772 Phone: 865-374-7100 | |
Ms. Lillie Halsey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1475 Simpson Rd W Ste 2, Lenoir City, TN 37771 Phone: 865-635-0240 | |
Joseph K Murphy, LPC Counselor Medicare: Medicare Enrolled Practice Location: 423 Medical Park Dr, Lenoir City, TN 37772 Phone: 865-970-9800 | |
Joshua Reagan, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 423 Medical Park Dr, Lenoir City, TN 37772 Phone: 865-970-9800 | |
Keisha Marie Shervington, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 501 Adesa Blvd Ste A150, Lenoir City, TN 37771 Phone: 865-986-8082 Fax: 865-986-5890 | |
Amberley Shay Boyd, Counselor Medicare: Not Enrolled in Medicare Practice Location: 423 Medical Park Dr Ste 400, Lenoir City, TN 37772 Phone: 865-970-9800 |