| Morningstar Counseling, Llc | |
|
3520 Ozark St Nw Cleveland TN 37312-2513 | |
| (423) 421-7322 | |
| Not Available |
| Full Name | Morningstar Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3520 Ozark St Nw, Cleveland, Tennessee |
| Authorized Official Name and Position | Reba Ann Terry (OWNER) |
| Authorized Official Contact | 4234217322 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Morningstar Counseling, Llc Po Box 5556 Cleveland TN 37320-5556 Ph: (423) 421-7322 | Morningstar Counseling, Llc 3520 Ozark St Nw Cleveland TN 37312-2513 Ph: (423) 421-7322 |
| NPI Number | 1750068904 |
|---|---|
| Provider Enumeration Date | 06/29/2023 |
| Last Update Date | 07/03/2023 |
| Certification Date | 07/03/2023 |
| Medicare PECOS PAC ID | 8224497078 |
|---|---|
| Medicare Enrollment ID | O20230711003232 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750068904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Reba A Terry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093355331 PECOS PAC ID: 8123447943 Enrollment ID: I20200929000507 |
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