| Mrs Tonya Kennard, LPC-MHSP | |
|
2971 Fort Henry Dr, Kingsport, TN 37664-4005 | |
| (423) 392-2975 | |
| (423) 392-2983 |
| Full Name | Mrs Tonya Kennard |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 2971 Fort Henry Dr, Kingsport, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457117301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6322 (Tennessee) | Primary |
| Entity Name | Camelot Care Centers Inc |
|---|---|
| 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 |
|---|---|
| Mrs Tonya Kennard, LPC-MHSP 411 Dogwood Trl, Piney Flats, TN 37686-4314 Ph: (423) 773-3509 | Mrs Tonya Kennard, LPC-MHSP 2971 Fort Henry Dr, Kingsport, TN 37664-4005 Ph: (423) 392-2975 |
Andrea Nicole Mccloud, MA, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 605 Watauga St, Kingsport, TN 37660 Phone: 423-408-2601 | |
Ms. Kristy Mae Tipton, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1570 Waverly Rd, Kingsport, TN 37664 Phone: 423-224-1300 Fax: 423-224-1375 | |
Debra Lavery Sensibaugh, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2001 Stonebrook Pl, Kingsport, TN 37660 Phone: 423-224-1000 | |
Joshua Paul Ledford, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2001 Stonebrook Pl, Kingsport, TN 37660 Phone: 423-224-1000 Fax: 423-224-1023 | |
Harold B Leonard, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2300 Pavilion Dr, Kingsport, TN 37660 Phone: 423-857-5571 Fax: 423-857-5237 | |
Rebecca Leigh Waldenstrom, MED Counselor Medicare: Not Enrolled in Medicare Practice Location: 2001 Stonebrook Pl, Kingsport, TN 37660 Phone: 423-224-1000 Fax: 423-224-1023 | |
Kelly J Medlin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2001 E Stonebrook Pl, Kingsport, TN 37660 Phone: 423-224-1000 Fax: 423-467-3644 |