| The Lions Lamb Family Therapy Llc | |
|
523 W Lamar Alexander Pkwy Ste 8 Maryville TN 37801-4701 | |
| (865) 213-1535 | |
| (865) 269-8886 |
| Full Name | The Lions Lamb Family Therapy Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 523 W Lamar Alexander Pkwy Ste 8, Maryville, Tennessee |
| Authorized Official Name and Position | Victoria Starkey (PROVIDER) |
| Authorized Official Contact | 8652131535 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Lions Lamb Family Therapy Llc 523 W Lamar Alexander Pkwy Ste 8 Maryville TN 37801-4701 Ph: (865) 213-1535 | The Lions Lamb Family Therapy Llc 523 W Lamar Alexander Pkwy Ste 8 Maryville TN 37801-4701 Ph: (865) 213-1535 |
| NPI Number | 1750953550 |
|---|---|
| Provider Enumeration Date | 07/13/2021 |
| Last Update Date | 04/10/2023 |
| Certification Date | 04/10/2023 |
| Medicare PECOS PAC ID | 6002253879 |
|---|---|
| Medicare Enrollment ID | O20240328002248 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750953550 | NPI | - | NPPES |
| 1500992 | Medicaid | TN | |
| 6260257 | Other | TN | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Victoria Lynn Starkey |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1336221514 PECOS PAC ID: 2163619495 Enrollment ID: I20240328003199 |
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