| Raintree Counseling Pllc | |
|
120 Center Pointe Dr Ste 1 Clarksville TN 37040-1632 | |
| (931) 213-5300 | |
| (423) 565-0149 |
| Full Name | Raintree Counseling Pllc |
|---|---|
| Speciality | Counselor |
| Location | 120 Center Pointe Dr Ste 1, Clarksville, Tennessee |
| Authorized Official Name and Position | Belinda Cheryl Fanning (OWNER) |
| Authorized Official Contact | 9312135300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Raintree Counseling Pllc 120 Center Pointe Dr Ste 1 Clarksville TN 37040-1632 Ph: (931) 213-5300 | Raintree Counseling Pllc 120 Center Pointe Dr Ste 1 Clarksville TN 37040-1632 Ph: (931) 213-5300 |
| NPI Number | 1902664535 |
|---|---|
| Provider Enumeration Date | 03/08/2024 |
| Last Update Date | 03/08/2024 |
| Certification Date | 03/08/2024 |
| Medicare PECOS PAC ID | 9032559265 |
|---|---|
| Medicare Enrollment ID | O20240503003043 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902664535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Belinda Fanning |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1184937138 PECOS PAC ID: 1254771496 Enrollment ID: I20240503003266 |
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