| Crossville Counseling Center, P.c. | |
|
1299 Genesis Rd Ste 3 Crossville TN 38555-5693 | |
| (931) 456-8600 | |
| (931) 456-8607 |
| Full Name | Crossville Counseling Center, P.c. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1299 Genesis Rd Ste 3, Crossville, Tennessee |
| Authorized Official Name and Position | Denise Joy Weaver (OWNER/THERAPIST) |
| Authorized Official Contact | 9314568600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossville Counseling Center, P.c. 1299 Genesis Rd Ste 3 Crossville TN 38555-5693 Ph: (931) 456-8600 | Crossville Counseling Center, P.c. 1299 Genesis Rd Ste 3 Crossville TN 38555-5693 Ph: (931) 456-8600 |
| NPI Number | 1639571409 |
|---|---|
| Provider Enumeration Date | 09/23/2014 |
| Last Update Date | 09/23/2014 |
| Medicare PECOS PAC ID | 9537487020 |
|---|---|
| Medicare Enrollment ID | O20150413002305 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639571409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Denise J Weaver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942483698 PECOS PAC ID: 3476605346 Enrollment ID: I20090723000677 |
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