| Olivia Fields Gobble, Lcsw Lssw, Llc. | |
|
413 W Gaines St Lawrenceburg TN 38464-3110 | |
| (931) 242-4249 | |
| Not Available |
| Full Name | Olivia Fields Gobble, Lcsw Lssw, Llc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 413 W Gaines St, Lawrenceburg, Tennessee |
| Authorized Official Name and Position | Olivia Gobble (CLINICAL SOCIAL WORKER/THERAPIST) |
| Authorized Official Contact | 9312424249 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Olivia Fields Gobble, Lcsw Lssw, Llc. 39 Purcell Rd Leoma TN 38468-5380 Ph: () - | Olivia Fields Gobble, Lcsw Lssw, Llc. 413 W Gaines St Lawrenceburg TN 38464-3110 Ph: (931) 242-4249 |
| NPI Number | 1760139885 |
|---|---|
| Provider Enumeration Date | 03/08/2022 |
| Last Update Date | 12/19/2022 |
| Certification Date | 12/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760139885 | NPI | - | NPPES |
| Q072289 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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