| Emily Ezell Counseling, Llc | |
|
45 Sherwood Rd Sewanee TN 37375-2110 | |
| (931) 218-6408 | |
| Not Available |
| Full Name | Emily Ezell Counseling, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 45 Sherwood Rd, Sewanee, Tennessee |
| Authorized Official Name and Position | Emily Ezell (THERAPIST) |
| Authorized Official Contact | 9312186408 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emily Ezell Counseling, Llc 45 Sherwood Rd Sewanee TN 37375-2110 Ph: (931) 218-6408 | Emily Ezell Counseling, Llc 45 Sherwood Rd Sewanee TN 37375-2110 Ph: (931) 218-6408 |
| NPI Number | 1730932591 |
|---|---|
| Provider Enumeration Date | 04/10/2024 |
| Last Update Date | 04/10/2024 |
| Certification Date | 04/10/2024 |
| Medicare PECOS PAC ID | 3577099951 |
|---|---|
| Medicare Enrollment ID | O20241209002721 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730932591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Bennett Bridgers-carlos Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 91 University Ave, Sewanee, TN 37375 Phone: 828-331-9928 Fax: 931-933-7766 | |