Therapy Place, Counseling And Consultation, Inc. | |
108 E Main St Suite 215 Kingsport TN 37660-4257 | |
(423) 246-9800 | |
(423) 246-5247 |
Full Name | Therapy Place, Counseling And Consultation, Inc. |
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Speciality | Social Worker |
Location | 108 E Main St, Kingsport, Tennessee |
Authorized Official Name and Position | Jo Ann Cox (OWNER/THERAPIST) |
Authorized Official Contact | 4232469800 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Therapy Place, Counseling And Consultation, Inc. 108 E Main St Ste 216 Kingsport TN 37660-4257 Ph: (423) 246-9800 | Therapy Place, Counseling And Consultation, Inc. 108 E Main St Suite 215 Kingsport TN 37660-4257 Ph: (423) 246-9800 |
NPI Number | 1184714123 |
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Provider Enumeration Date | 10/13/2006 |
Last Update Date | 07/25/2024 |
Certification Date | 07/25/2024 |
Medicare PECOS PAC ID | 7113199779 |
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Medicare Enrollment ID | O20111004000709 |
Identifier | Type | State | Issuer |
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1184714123 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | IP584 (Tennessee) | Primary |
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
Provider Name | Jo Cox |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1386734358 PECOS PAC ID: 3870767072 Enrollment ID: I20111128000765 |
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