| Sevenfold Counseling Pllc | |
|
402 Rivendell Rd Woodbury TN 37190-5975 | |
| (815) 715-1026 | |
| Not Available |
| Full Name | Sevenfold Counseling Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 402 Rivendell Rd, Woodbury, Tennessee |
| Authorized Official Name and Position | Melissa Brown (CEO) |
| Authorized Official Contact | 8157151026 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sevenfold Counseling Pllc 402 Rivendell Rd Woodbury TN 37190-5975 Ph: (815) 715-1026 | Sevenfold Counseling Pllc 402 Rivendell Rd Woodbury TN 37190-5975 Ph: (815) 715-1026 |
| NPI Number | 1083453237 |
|---|---|
| Provider Enumeration Date | 05/20/2024 |
| Last Update Date | 05/20/2024 |
| Certification Date | 05/20/2024 |
| Medicare PECOS PAC ID | 1254873573 |
|---|---|
| Medicare Enrollment ID | O20240603000259 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083453237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Melissa Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497006928 PECOS PAC ID: 2163964487 Enrollment ID: I20240603000370 |
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