| Anchors In Bloom Counseling Llc | |
|
174 Murray Guard Dr Jackson TN 38305-3742 | |
| (731) 487-2468 | |
| Not Available |
| Full Name | Anchors In Bloom Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 174 Murray Guard Dr, Jackson, Tennessee |
| Authorized Official Name and Position | Jessica Barron (OWNER) |
| Authorized Official Contact | 7313137688 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anchors In Bloom Counseling Llc Po Box 202 Medina TN 38355-0202 Ph: (731) 487-2468 | Anchors In Bloom Counseling Llc 174 Murray Guard Dr Jackson TN 38305-3742 Ph: (731) 487-2468 |
| NPI Number | 1306412903 |
|---|---|
| Provider Enumeration Date | 06/03/2021 |
| Last Update Date | 11/01/2021 |
| Certification Date | 11/01/2021 |
| Medicare PECOS PAC ID | 1658771845 |
|---|---|
| Medicare Enrollment ID | O20210609002046 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306412903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Jessica Barron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659971968 PECOS PAC ID: 2567870413 Enrollment ID: I20210414002305 |
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