| Resolution Therapy Associates, Pllc | |
|
228 W Main St Ste. B Lebanon TN 37087-2744 | |
| (615) 414-8249 | |
| Not Available |
| Full Name | Resolution Therapy Associates, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 228 W Main St, Lebanon, Tennessee |
| Authorized Official Name and Position | Christina S Jones (PRESIDENT) |
| Authorized Official Contact | 6154148249 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Resolution Therapy Associates, Pllc 228 W Main St Ste. B Lebanon TN 37087-2744 Ph: (615) 414-8249 | Resolution Therapy Associates, Pllc 228 W Main St Ste. B Lebanon TN 37087-2744 Ph: (615) 414-8249 |
| NPI Number | 1295908416 |
|---|---|
| Provider Enumeration Date | 04/09/2008 |
| Last Update Date | 04/09/2008 |
| Medicare PECOS PAC ID | 6305925876 |
|---|---|
| Medicare Enrollment ID | O20080508000559 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295908416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 2655 (Tennessee) | Primary |
| 1041C0700X | Social Worker - Clinical | 4196 (Tennessee) | Secondary |
| Provider Name | Tammy R Crecelius |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861608895 PECOS PAC ID: 8022197508 Enrollment ID: I20080508000664 |
| Provider Name | Christina S Jones |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821273608 PECOS PAC ID: 2668551144 Enrollment ID: I20080508000691 |
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