| Wild Clarity Counseling | |
|
120 E Church St Lexington TN 38351-1820 | |
| (731) 624-1624 | |
| Not Available |
| Full Name | Wild Clarity Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 120 E Church St, Lexington, Tennessee |
| Authorized Official Name and Position | Pamala Hansen (LSW) |
| Authorized Official Contact | 7316602665 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wild Clarity Counseling 256 Franklin Store Rd Lexington TN 38351-6370 Ph: (731) 624-1624 | Wild Clarity Counseling 120 E Church St Lexington TN 38351-1820 Ph: (731) 624-1624 |
| NPI Number | 1588246680 |
|---|---|
| Provider Enumeration Date | 04/27/2021 |
| Last Update Date | 04/27/2021 |
| Certification Date | 04/27/2021 |
| Medicare PECOS PAC ID | 9537578521 |
|---|---|
| Medicare Enrollment ID | O20210504000024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588246680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Pamala Hansen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710334230 PECOS PAC ID: 6204129406 Enrollment ID: I20160726001616 |
| Provider Name | Talley Flowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750092433 PECOS PAC ID: 4688039613 Enrollment ID: I20230427000047 |
Tn Anger Management / Counsel Care, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1490b N Broad St, Lexington, TN 38351 Phone: 731-798-5055 Fax: 731-968-0400 | |
Stephens Ministry Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 369 W Church St, Lexington, TN 38351 Phone: 731-249-5101 |