Creekside Counseling & Wellness | |
305 Ebenezer Rd Knoxville TN 37923-5310 | |
(865) 325-9604 | |
(865) 321-8390 |
Full Name | Creekside Counseling & Wellness |
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Speciality | Social Worker |
Location | 305 Ebenezer Rd, Knoxville, Tennessee |
Authorized Official Name and Position | Bonnie Barclay (OWNER, PRESIDENT) |
Authorized Official Contact | 8653259604 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Creekside Counseling & Wellness 1225 Halifax Rd Knoxville TN 37922-1434 Ph: (865) 919-2830 | Creekside Counseling & Wellness 305 Ebenezer Rd Knoxville TN 37923-5310 Ph: (865) 325-9604 |
NPI Number | 1912570185 |
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Provider Enumeration Date | 07/23/2021 |
Last Update Date | 07/23/2021 |
Certification Date | 07/23/2021 |
Medicare PECOS PAC ID | 0244628642 |
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Medicare Enrollment ID | O20211103001482 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912570185 | NPI | - | NPPES |
Provider Name | Bonnie L Barclay |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1083845408 PECOS PAC ID: 2769538206 Enrollment ID: I20090924000209 |
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