| Seeds Of Hope Counseling, Pllc | |
|
215 Hawks Rd Ste 12 Martin TN 38237-2749 | |
| (731) 281-8070 | |
| (731) 284-0533 |
| Full Name | Seeds Of Hope Counseling, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 215 Hawks Rd Ste 12, Martin, Tennessee |
| Authorized Official Name and Position | Carolyn Diana Fulcher (LCSW/OWNER) |
| Authorized Official Contact | 4235192224 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seeds Of Hope Counseling, Pllc 212 Hawks Road Suite 12 Martin TN 38237-2165 Ph: (731) 281-8070 | Seeds Of Hope Counseling, Pllc 215 Hawks Rd Ste 12 Martin TN 38237-2749 Ph: (731) 281-8070 |
| NPI Number | 1831662832 |
|---|---|
| Provider Enumeration Date | 01/02/2019 |
| Last Update Date | 08/22/2024 |
| Certification Date | 08/20/2024 |
| Medicare PECOS PAC ID | 4385984731 |
|---|---|
| Medicare Enrollment ID | O20190321000086 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831662832 | NPI | - | NPPES |
| Q046634 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Carolyn Diana Fulcher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033407218 PECOS PAC ID: 0042523284 Enrollment ID: I20150717000586 |
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