| Pillars Of Hope Counseling Llc | |
|
128 Trillium Ct Clarksville TN 37043-2148 | |
| (573) 673-8434 | |
| Not Available |
| Full Name | Pillars Of Hope Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 128 Trillium Ct, Clarksville, Tennessee |
| Authorized Official Name and Position | Lateldrin Denise Williams (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 5736738434 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pillars Of Hope Counseling Llc 99 Michigan Ave Ste 335 Fort Campbell KY 42223-5614 Ph: (573) 673-8434 | Pillars Of Hope Counseling Llc 128 Trillium Ct Clarksville TN 37043-2148 Ph: (573) 673-8434 |
| NPI Number | 1992559751 |
|---|---|
| Provider Enumeration Date | 04/16/2024 |
| Last Update Date | 04/16/2024 |
| Certification Date | 04/16/2024 |
| Medicare PECOS PAC ID | 1355783556 |
|---|---|
| Medicare Enrollment ID | O20240520001717 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992559751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lateldrin Denise Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679244453 PECOS PAC ID: 2264874460 Enrollment ID: I20240520001990 |
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