| Candy D Pelham, | |
|
1105 Oak Cluster Dr, Sevierville, TN 37862-6079 | |
| (865) 429-0557 | |
| Not Available |
| Full Name | Candy D Pelham |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 7 Years |
| Location | 1105 Oak Cluster Dr, Sevierville, Tennessee |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629660824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (NU) | Secondary |
| 101YM0800X | Counselor - Mental Health | 6751 (Tennessee) | Secondary |
| 101YP2500X | Counselor - Professional | 6751 (Tennessee) | Primary |
| Entity Name | Camelot Care Centers LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831397645 PECOS PAC ID: 8325495211 Enrollment ID: O20231115000297 |
| Mailing Address | Practice Location Address |
|---|---|
| Candy D Pelham, 200 Tech Center Dr, Knoxville, TN 37912-2747 Ph: (865) 637-9711 | Candy D Pelham, 1105 Oak Cluster Dr, Sevierville, TN 37862-6079 Ph: (865) 429-0557 |
Angela Goins, MSSW Counselor Medicare: Medicare Enrolled Practice Location: 1104 Foxwood Dr, Sevierville, TN 37862 Phone: 865-970-9800 Fax: 865-453-2449 |
Austin Sue Ann Pershing, Counselor Medicare: Not Enrolled in Medicare Practice Location: 647 Wall St, Sevierville, TN 37862 Phone: 865-429-0557 |
Andrea Dudek, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1105 Oak Cluster Dr, Sevierville, TN 37862 Phone: 865-429-0557 |
Lauren Ashton James, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 647 Wall St, Sevierville, TN 37862 Phone: 865-429-0557 |
Brooke Todora, INTERN Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Park Rd Ste 220, Sevierville, TN 37862 Phone: 865-366-1425 |
Elizabeth Joy Easton, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1105 Oak Cluster Dr, Sevierville, TN 37862 Phone: 865-429-0557 |
Mrs. Nicole Turner, LPC-MHSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1105 Oak Cluster Dr, Sevierville, TN 37862 Phone: 865-429-0557 |