| Behavioral And Counseling Services, Llc | |
|
550 Lazenby Dr Somerville TN 38068-5030 | |
| (901) 569-0165 | |
| Not Available |
| Full Name | Behavioral And Counseling Services, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 550 Lazenby Dr, Somerville, Tennessee |
| Authorized Official Name and Position | Michael Egan Rohr (OWNER/DIRECTOR) |
| Authorized Official Contact | 9015690165 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral And Counseling Services, Llc 550 Lazenby Dr Somerville TN 38068-5030 Ph: (901) 569-0165 | Behavioral And Counseling Services, Llc 550 Lazenby Dr Somerville TN 38068-5030 Ph: (901) 569-0165 |
| NPI Number | 1609017698 |
|---|---|
| Provider Enumeration Date | 03/20/2009 |
| Last Update Date | 03/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609017698 | NPI | - | NPPES |
| 5442100 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | LPC #193 (Tennessee) | Secondary |
| 103K00000X | Behavior Analyst | BACB #107 (Florida) | Primary |
| 103T00000X | Psychologist | #1424 (Tennessee) | Secondary |
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