| Gary Osborne Pc | |
|
113 Rolling Oaks Dr Humboldt TN 38343-8650 | |
| (731) 618-0266 | |
| Not Available |
| Full Name | Gary Osborne Pc |
|---|---|
| Speciality | Counselor |
| Location | 113 Rolling Oaks Dr, Humboldt, Tennessee |
| Authorized Official Name and Position | Gary W Osborne (OWNER/PROVIDER) |
| Authorized Official Contact | 7316180266 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary Osborne Pc 113 Rolling Oaks Dr Humboldt TN 38343-8650 Ph: () - | Gary Osborne Pc 113 Rolling Oaks Dr Humboldt TN 38343-8650 Ph: (731) 618-0266 |
| NPI Number | 1366609943 |
|---|---|
| Provider Enumeration Date | 05/21/2008 |
| Last Update Date | 05/21/2008 |
| Medicare PECOS PAC ID | 4284078445 |
|---|---|
| Medicare Enrollment ID | O20240215004394 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366609943 | NPI | - | NPPES |
| 600078369 | Other | TN | MAGELLAN HEALTH SERVICES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Gary Wayne Osborne |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891880209 PECOS PAC ID: 8325036106 Enrollment ID: I20240215004401 |
Behavioral Outreach Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 142 Mason Cemetery Rd, Humboldt, TN 38343 Phone: 731-446-5441 Fax: 731-784-2664 | |
Alternative Choice Counseling Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1309 E Main St, Humboldt, TN 38343 Phone: 731-784-8814 Fax: 731-784-9920 |