| Confidential Counseling Solutions Llc | |
|
2102 Forest Dr Suite 5 Gray TN 37615-3493 | |
| (423) 895-4053 | |
| (706) 364-4340 |
| Full Name | Confidential Counseling Solutions Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2102 Forest Dr, Gray, Tennessee |
| Authorized Official Name and Position | Anne Lewis-nash (OWNER) |
| Authorized Official Contact | 4238954053 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Confidential Counseling Solutions Llc 2111 Fothergill Dr Evans GA 30809-7242 Ph: (423) 895-4053 | Confidential Counseling Solutions Llc 2102 Forest Dr Suite 5 Gray TN 37615-3493 Ph: (423) 895-4053 |
| NPI Number | 1417255720 |
|---|---|
| Provider Enumeration Date | 03/10/2011 |
| Last Update Date | 03/07/2013 |
| Medicare PECOS PAC ID | 6800071887 |
|---|---|
| Medicare Enrollment ID | O20110509000014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417255720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LSW0000005264 (Tennessee) | Primary |
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