Collaborative Counseling | |
1361 Perkins St Alcoa TN 37701-2354 | |
(865) 258-7053 | |
Not Available |
Full Name | Collaborative Counseling |
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Speciality | Social Worker |
Location | 1361 Perkins St, Alcoa, Tennessee |
Authorized Official Name and Position | Alice Stover (MEMBER MANAGER) |
Authorized Official Contact | 8652587053 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Collaborative Counseling 1361 Perkins St Alcoa TN 37701-2354 Ph: (865) 258-7053 | Collaborative Counseling 1361 Perkins St Alcoa TN 37701-2354 Ph: (865) 258-7053 |
NPI Number | 1629741129 |
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Provider Enumeration Date | 07/29/2021 |
Last Update Date | 06/23/2024 |
Certification Date | 10/29/2022 |
Medicare PECOS PAC ID | 7113316266 |
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Medicare Enrollment ID | O20220107001196 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629741129 | NPI | - | NPPES |
Q068098 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Alice Stover |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1194211706 PECOS PAC ID: 4284038282 Enrollment ID: I20210813000285 |
Journey Of Life Counseling & Wellness, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1317 Dalton St, Alcoa, TN 37701 Phone: 865-556-3215 | |
Cherokee Health Systems Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 255 E Watt Street, Alcoa, TN 37701 Phone: 865-273-1616 Fax: 865-273-1645 |