| Lakeside Of The Smokies Counseling Pllc | |
|
1121 Hill St Dandridge TN 37725-4813 | |
| (865) 333-2654 | |
| Not Available |
| Full Name | Lakeside Of The Smokies Counseling Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1121 Hill St, Dandridge, Tennessee |
| Authorized Official Name and Position | Aubrey Noel Mcmillan (CEO) |
| Authorized Official Contact | 8653332654 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Of The Smokies Counseling Pllc 1121 Hill St Dandridge TN 37725-4813 Ph: (865) 333-2654 | Lakeside Of The Smokies Counseling Pllc 1121 Hill St Dandridge TN 37725-4813 Ph: (865) 333-2654 |
| NPI Number | 1740901750 |
|---|---|
| Provider Enumeration Date | 09/07/2022 |
| Last Update Date | 09/07/2022 |
| Certification Date | 09/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740901750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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