Middle Tn Counseling Services, Pllc | |
104 Peacock St. Bell Buckle TN 37020-3702 | |
(615) 512-4000 | |
Not Available |
Full Name | Middle Tn Counseling Services, Pllc |
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Speciality | Community/behavioral Health |
Location | 104 Peacock St., Bell Buckle, Tennessee |
Authorized Official Name and Position | Michael Scott Harris (OWNER) |
Authorized Official Contact | 6155124000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Middle Tn Counseling Services, Pllc Po Box 277 Bell Buckle TN 37020-0277 Ph: (615) 512-4000 | Middle Tn Counseling Services, Pllc 104 Peacock St. Bell Buckle TN 37020-3702 Ph: (615) 512-4000 |
NPI Number | 1073145876 |
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Provider Enumeration Date | 02/10/2020 |
Last Update Date | 02/27/2020 |
Certification Date | 02/27/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073145876 | NPI | - | NPPES |
Q044488 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |