Sage Counseling Groups | |
1325 W Main St Ste 108e Franklin TN 37064-3786 | |
(615) 599-9917 | |
Not Available |
Full Name | Sage Counseling Groups |
---|---|
Speciality | Social Worker |
Location | 1325 W Main St Ste 108e, Franklin, Tennessee |
Authorized Official Name and Position | Anthony Porter Owens (AUTHORIZED OFFICIAL/PARTNER) |
Authorized Official Contact | 6155999917 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Sage Counseling Groups 1325 W Main St Ste 108e Franklin TN 37064-3786 Ph: (615) 599-9917 | Sage Counseling Groups 1325 W Main St Ste 108e Franklin TN 37064-3786 Ph: (615) 599-9917 |
NPI Number | 1174127146 |
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Provider Enumeration Date | 11/30/2020 |
Last Update Date | 11/30/2020 |
Certification Date | 11/30/2020 |
Medicare PECOS PAC ID | 9739594318 |
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Medicare Enrollment ID | O20210211002304 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174127146 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Anthony Porter Owens |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1629639547 PECOS PAC ID: 0648685222 Enrollment ID: I20210305000980 |
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