Marriage & Family Counseling Associates, Inc. | |
1640 W Clinch Ave Knoxville TN 37916-2524 | |
(865) 637-5848 | |
(865) 525-4026 |
Full Name | Marriage & Family Counseling Associates, Inc. |
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Speciality | Social Worker |
Location | 1640 W Clinch Ave, Knoxville, Tennessee |
Authorized Official Name and Position | Elizabeth J Elliott (PRESIDENT) |
Authorized Official Contact | 8656375848 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Marriage & Family Counseling Associates, Inc. 1640 W Clinch Ave Knoxville TN 37916-2524 Ph: (865) 637-5848 | Marriage & Family Counseling Associates, Inc. 1640 W Clinch Ave Knoxville TN 37916-2524 Ph: (865) 637-5848 |
NPI Number | 1487877312 |
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Provider Enumeration Date | 04/10/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 4183899230 |
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Medicare Enrollment ID | O20111219000666 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487877312 | NPI | - | NPPES |
4542425 | Other | TN | AETNA PROVIDER NUMBER |
3696258 | Medicaid | TN | |
0049258 | Other | TN | BC-BS PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LSW190 (Tennessee) | Primary |
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