| Nikki Ohartz Lcsw Counseling Services | |
|
980 W Highway 11e New Market TN 37820-4205 | |
| (865) 978-2135 | |
| Not Available |
| Full Name | Nikki Ohartz Lcsw Counseling Services |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 980 W Highway 11e, New Market, Tennessee |
| Authorized Official Name and Position | Nicole Ohartz (OWNER AND SOLE PROVIDER) |
| Authorized Official Contact | 8659782135 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nikki Ohartz Lcsw Counseling Services 980 W Highway 11e New Market TN 37820-4205 Ph: (865) 978-2135 | Nikki Ohartz Lcsw Counseling Services 980 W Highway 11e New Market TN 37820-4205 Ph: (865) 978-2135 |
| NPI Number | 1538851761 |
|---|---|
| Provider Enumeration Date | 05/25/2023 |
| Last Update Date | 05/25/2023 |
| Certification Date | 05/25/2023 |
| Medicare PECOS PAC ID | 5294194007 |
|---|---|
| Medicare Enrollment ID | O20230711001813 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538851761 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Nicole C O'hartz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194933762 PECOS PAC ID: 5193995611 Enrollment ID: I20200729004010 |
Eagles Passage Therapeutic Farm, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2605 Riddle Rd, New Market, TN 37820 Phone: 865-932-3331 Fax: 865-932-3331 |