| Professional Counselling Center | |
|
334 N Spring St Sparta TN 38583-1334 | |
| (931) 254-0963 | |
| Not Available |
| Full Name | Professional Counselling Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 334 N Spring St, Sparta, Tennessee |
| Authorized Official Name and Position | Sammy Glenn (OWNER) |
| Authorized Official Contact | 9312540963 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Counselling Center 334 N Spring St Sparta TN 38583-1334 Ph: (931) 254-0963 | Professional Counselling Center 334 N Spring St Sparta TN 38583-1334 Ph: (931) 254-0963 |
| NPI Number | 1710543715 |
|---|---|
| Provider Enumeration Date | 05/15/2019 |
| Last Update Date | 05/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710543715 | NPI | - | NPPES |
| 1699064147 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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