| Professional Counseling Solutions, Llc | |
|
2036 Alysheba Run Murfreesboro TN 37128-1631 | |
| (615) 202-5363 | |
| Not Available |
| Full Name | Professional Counseling Solutions, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2036 Alysheba Run, Murfreesboro, Tennessee |
| Authorized Official Name and Position | Nekethia West Smith (OWNER/MEMBER) |
| Authorized Official Contact | 6152025363 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Counseling Solutions, Llc 2036 Alysheba Run Murfreesboro TN 37128-1631 Ph: (615) 202-5363 | Professional Counseling Solutions, Llc 2036 Alysheba Run Murfreesboro TN 37128-1631 Ph: (615) 202-5363 |
| NPI Number | 1477125219 |
|---|---|
| Provider Enumeration Date | 07/12/2021 |
| Last Update Date | 07/12/2021 |
| Certification Date | 07/12/2021 |
| Medicare PECOS PAC ID | 1658763453 |
|---|---|
| Medicare Enrollment ID | O20220127001334 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477125219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Nekethia West Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063799526 PECOS PAC ID: 0840430286 Enrollment ID: I20220127001526 |
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