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1608 Williams Dr Ste 301 Murfreesboro TN 37129-3195 | |
| (865) 712-8723 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 1608 Williams Dr Ste 301, Murfreesboro, Tennessee |
| Authorized Official Name and Position | Adam Ulrich Engle (OWNER) |
| Authorized Official Contact | 8657128723 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
1826 Sonoma Trce Brentwood TN 37027-3835 Ph: (865) 712-8723 | 1608 Williams Dr Ste 301 Murfreesboro TN 37129-3195 Ph: (865) 712-8723 |
| NPI Number | 1598413833 |
|---|---|
| Provider Enumeration Date | 03/15/2022 |
| Last Update Date | 03/16/2022 |
| Certification Date | 03/16/2022 |
| Medicare PECOS PAC ID | 2961871397 |
|---|---|
| Medicare Enrollment ID | O20221207001528 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598413833 | NPI | - | NPPES |
| Provider Name | Charly A. Bjornsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891258406 PECOS PAC ID: 8921341512 Enrollment ID: I20190522003030 |
| Provider Name | Grace Lewis Rieman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093268591 PECOS PAC ID: 5698169324 Enrollment ID: I20220223001810 |
| Provider Name | Joseph Douglas Kinnard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770172553 PECOS PAC ID: 8628420627 Enrollment ID: I20240116000304 |
| Provider Name | Jeremy R Miller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417107483 PECOS PAC ID: 3870962210 Enrollment ID: I20240116000897 |
| Provider Name | Rebecca Hayley Dobbs |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457805962 PECOS PAC ID: 9931551983 Enrollment ID: I20240116001857 |
| Provider Name | Kelsie Alexis Payne |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588206270 PECOS PAC ID: 6103278916 Enrollment ID: I20240117002916 |
| Provider Name | Andrew Allgood |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942752951 PECOS PAC ID: 8921450446 Enrollment ID: I20240122000143 |
| Provider Name | Suzanne M Grannis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083165435 PECOS PAC ID: 7214380849 Enrollment ID: I20240130002159 |
| Provider Name | Amber Moyo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740645753 PECOS PAC ID: 6103279625 Enrollment ID: I20240131001875 |
| Provider Name | Terry Lee Holt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609212489 PECOS PAC ID: 6800239930 Enrollment ID: I20240206002446 |
| Provider Name | Kimberly Corts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013009943 PECOS PAC ID: 6204161870 Enrollment ID: I20240223001726 |
| Provider Name | Hailey Hope Mercer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164998027 PECOS PAC ID: 7012357882 Enrollment ID: I20240426000494 |
| Provider Name | Christopher Todd Gygi |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1821711821 PECOS PAC ID: 6709227358 Enrollment ID: I20240514000533 |
| Provider Name | Hannah Mae Roberts |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1558844068 PECOS PAC ID: 2860934049 Enrollment ID: I20240603003055 |
| Provider Name | Jacob Henry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487103701 PECOS PAC ID: 0244686632 Enrollment ID: I20240708001334 |
| Provider Name | Jeffrey Lane Devine |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396269676 PECOS PAC ID: 2860939667 Enrollment ID: I20240729004439 |
| Provider Name | Heather Elizabeth Knight |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1578396487 PECOS PAC ID: 4183155591 Enrollment ID: I20241009000245 |
| Provider Name | Ariana Marie O'shea Benes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417667536 PECOS PAC ID: 7113450388 Enrollment ID: I20241025002445 |
| Provider Name | Stacey Williams |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1306573720 PECOS PAC ID: 5294269601 Enrollment ID: I20241107002422 |
| Provider Name | Emily Ellison Rhoads |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639486582 PECOS PAC ID: 6901330356 Enrollment ID: I20241108000011 |
New Bloom Therapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1412 Suzanne Dr, Murfreesboro, TN 37128 Phone: 615-975-0083 Fax: 615-895-2422 | |
Mid South Psychiatric Associates Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1830 Heritage Park Plz, Murfreesboro, TN 37129 Phone: 615-895-8104 Fax: 615-895-7903 | |
Behavior Analysis And Management Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5238 Starnes Dr, Murfreesboro, TN 37128 Phone: 615-512-6876 | |
Victorious Care Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 437 Indian Park Dr, Murfreesboro, TN 37128 Phone: 325-276-7132 | |
Volunteer Behavioral Health Care System Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1504 Williams Dr, Murfreesboro, TN 37129 Phone: 615-278-2241 Fax: 615-904-9182 | |