Kylie Deanna Stough, LPC/MHSP is a
Counselor - Professional based in Oak Ridge, Tennessee. Kylie Deanna Stough is licensed to practice in Tennessee (license number 4660) and her current practice location is
240 W Tyrone Rd, Oak Ridge, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(865) 481-6175.
NPI number for Kylie Deanna Stough is 1205410016 and her current mailing address is 12501 Choto Mill Ln, Knoxville, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205410016.
Provider's Profile
Full Name | Kylie Deanna Stough |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 240 W Tyrone Rd, Oak Ridge, Tennessee |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1205410016
- Provider Enumeration Date: 05/07/2021
- Last Update Date: 05/07/2021
Medical Identifiers
Medical identifiers for Kylie Deanna Stough such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205410016 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WG0000X | Registered Nurse - General Practice | 228872 (Tennessee) | Secondary |
101YP2500X | Counselor - Professional | 4660 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kylie Deanna Stough is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kylie Deanna Stough, LPC/MHSP 12501 Choto Mill Ln, Knoxville, TN 37922-0615 Ph: (865) 392-1600 | Kylie Deanna Stough, LPC/MHSP 240 W Tyrone Rd, Oak Ridge, TN 37830-6517 Ph: (865) 481-6175 |
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