Abby Laine Fowler, LPC-MHSP | |
214 Main St, Baxter, TN 38544-5280 | |
(615) 549-8793 | |
Not Available |
Full Name | Abby Laine Fowler |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 214 Main St, Baxter, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952974586 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Centerstone Of Tennessee, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396767430 PECOS PAC ID: 9739088113 Enrollment ID: O20040106000489 |
Mailing Address | Practice Location Address |
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Abby Laine Fowler, LPC-MHSP 214 Main St, Baxter, TN 38544-5280 Ph: (615) 549-8793 | Abby Laine Fowler, LPC-MHSP 214 Main St, Baxter, TN 38544-5280 Ph: (615) 549-8793 |
Ms. Brandi Jo Hampshire, Counselor Medicare: Not Enrolled in Medicare Practice Location: 166 Rachelle Pl, Baxter, TN 38544 Phone: 931-265-9373 | |
Susan Grimes Fortner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 214 Main St, Baxter, TN 38544 Phone: 931-588-0475 | |
Shannon Nicole Holloway, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 214 Main St, Baxter, TN 38544 Phone: 931-248-0610 |