| Phoenix Counseling Services, Inc. | |
|
729 Charles Seivers Clinton TN 37716 | |
| (865) 548-7474 | |
| (865) 494-9819 |
| Full Name | Phoenix Counseling Services, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 729 Charles Seivers, Clinton, Tennessee |
| Authorized Official Name and Position | Miriam 'mims' Gordon (OWNER, THERAPIST) |
| Authorized Official Contact | 8655487474 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Counseling Services, Inc. Po Box 567 Norris TN 37828-0567 Ph: (865) 548-7474 | Phoenix Counseling Services, Inc. 729 Charles Seivers Clinton TN 37716 Ph: (865) 548-7474 |
| NPI Number | 1396883955 |
|---|---|
| Provider Enumeration Date | 02/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396883955 | NPI | - | NPPES |
| 5441087 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 298 (Tennessee) | Primary |
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