| Daniel Fowler, | |
|
129 N Locust Ave, Lawrenceburg, TN 38464-3757 | |
| (931) 762-7232 | |
| (931) 762-7234 |
| Full Name | Daniel Fowler |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 8 Years |
| Location | 129 N Locust Ave, Lawrenceburg, Tennessee |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710365580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6295 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ultra Health Llc | 6800186602 | 113 |
| Entity Name | Ultra Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922469543 PECOS PAC ID: 6800186602 Enrollment ID: O20160607002194 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Fowler, 45 Addimack Cv, Bells, TN 38006-2400 Ph: (731) 961-1796 | Daniel Fowler, 129 N Locust Ave, Lawrenceburg, TN 38464-3757 Ph: (931) 762-7232 |
Misty Lee Gallimore, LMSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 1090 Old Florence Rd, Lawrenceburg, TN 38464 Phone: 931-762-6505 | |
Ms. Melanie Linda Davis, ED.D Counselor Medicare: Not Enrolled in Medicare Practice Location: 1090 Old Florence Rd, Lawrenceburg, TN 38464 Phone: 615-308-3846 | |
Ms. Victoria T. Gattis, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 491 Hillview Dr, Lawrenceburg, TN 38464 Phone: 931-766-8549 Fax: 931-766-8549 | |
Lana Leigh Brown, BSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1090 Old Florence Rd, Lawrenceburg, TN 38464 Phone: 931-762-6505 | |
Brian Carter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1090 Old Florence Road, Lawrenceburg, TN 38464 Phone: 256-856-2739 | |
Amy R Farmer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 Cherry Ave, Lawrenceburg, TN 38464 Phone: 931-242-7483 | |
Mr. Gary Van Bentley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1090 Old Florence Rd, Lawrenceburg, TN 38464 Phone: 931-762-6505 Fax: 931-762-3690 |