| Thirty-first Trail Therapy Pllc | |
|
1121 Hill St Dandridge TN 37725-4813 | |
| (865) 985-9400 | |
| Not Available |
| Full Name | Thirty-first Trail Therapy Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1121 Hill St, Dandridge, Tennessee |
| Authorized Official Name and Position | Aubrey Noel Mcmillan (OWNER/ THERAPIST) |
| Authorized Official Contact | 8659859400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thirty-first Trail Therapy Pllc 1121 Hill St Dandridge TN 37725-4813 Ph: (865) 333-2654 | Thirty-first Trail Therapy Pllc 1121 Hill St Dandridge TN 37725-4813 Ph: (865) 985-9400 |
| NPI Number | 1770317596 |
|---|---|
| Provider Enumeration Date | 08/26/2024 |
| Last Update Date | 08/26/2024 |
| Certification Date | 08/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770317596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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