| Mental Health | |
|
207 Larkin Dr Martin TN 38237-2326 | |
| (731) 514-4034 | |
| Not Available |
| Full Name | Mental Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 207 Larkin Dr, Martin, Tennessee |
| Authorized Official Name and Position | Felicia Dodd (OWNER) |
| Authorized Official Contact | 7315144034 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health 207 Larkin Dr Martin TN 38237-2326 Ph: (731) 514-4034 | Mental Health 207 Larkin Dr Martin TN 38237-2326 Ph: (731) 514-4034 |
| NPI Number | 1851074363 |
|---|---|
| Provider Enumeration Date | 08/10/2023 |
| Last Update Date | 10/12/2023 |
| Medicare PECOS PAC ID | 5496103640 |
|---|---|
| Medicare Enrollment ID | O20231128002663 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851074363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
| Provider Name | Felicia Loren Dodd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952913931 PECOS PAC ID: 1759797087 Enrollment ID: I20210310001929 |
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