| Elizabeth Hiatt Lpc-mhsp Llc | |
|
6906 Kingston Pike Ste 200 Knoxville TN 37919-5704 | |
| (865) 588-4044 | |
| Not Available |
| Full Name | Elizabeth Hiatt Lpc-mhsp Llc |
|---|---|
| Speciality | Counselor |
| Location | 6906 Kingston Pike Ste 200, Knoxville, Tennessee |
| Authorized Official Name and Position | Amy Livingston (PRACTICE MANAGER) |
| Authorized Official Contact | 8655884044 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Hiatt Lpc-mhsp Llc 6906 Kingston Pike Ste 200 Knoxville TN 37919-5704 Ph: (865) 588-4044 | Elizabeth Hiatt Lpc-mhsp Llc 6906 Kingston Pike Ste 200 Knoxville TN 37919-5704 Ph: (865) 588-4044 |
| NPI Number | 1487418828 |
|---|---|
| Provider Enumeration Date | 02/07/2024 |
| Last Update Date | 02/07/2024 |
| Certification Date | 02/07/2024 |
| Medicare PECOS PAC ID | 7214374743 |
|---|---|
| Medicare Enrollment ID | O20240320001275 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487418828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Elizabeth Hiatt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427684984 PECOS PAC ID: 1850738386 Enrollment ID: I20240320001564 |
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