| Tennessee Art Therapy And Counseling, Llc | |
|
1129 Dartmouth St Chattanooga TN 37405-3009 | |
| (504) 220-1483 | |
| (888) 248-7189 |
| Full Name | Tennessee Art Therapy And Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 1129 Dartmouth St, Chattanooga, Tennessee |
| Authorized Official Name and Position | Elizabeth Beu Bourgeois (DIRECTOR) |
| Authorized Official Contact | 5042201483 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tennessee Art Therapy And Counseling, Llc 1129 Dartmouth St Chattanooga TN 37405-3009 Ph: (203) 423-8600 | Tennessee Art Therapy And Counseling, Llc 1129 Dartmouth St Chattanooga TN 37405-3009 Ph: (504) 220-1483 |
| NPI Number | 1720845183 |
|---|---|
| Provider Enumeration Date | 03/04/2024 |
| Last Update Date | 04/27/2024 |
| Certification Date | 04/27/2024 |
| Medicare PECOS PAC ID | 5395185383 |
|---|---|
| Medicare Enrollment ID | O20240424001309 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720845183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Elizabeth Beu Bourgeois |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689914301 PECOS PAC ID: 0941675946 Enrollment ID: I20240424001704 |
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