| Patricia Lynn Proctor, MED, LPC-MHSP | |
|
6305 Lonas Dr, Knoxville, TN 37909-3767 | |
| (865) 588-3173 | |
| (423) 763-4657 |
| Full Name | Patricia Lynn Proctor |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 6305 Lonas Dr, Knoxville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255461059 | NPI | - | NPPES |
| Q005434 | Medicaid | TN | |
| 2546 | Other | TN | LPC-MHSP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 02546 (Tennessee) | Secondary |
| 101YP2500X | Counselor - Professional | 2546 (Tennessee) | Primary |
| Entity Name | Healthy Mind Counseling Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457409898 PECOS PAC ID: 8325093081 Enrollment ID: O20070827000096 |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia Lynn Proctor, MED, LPC-MHSP 6305 Lonas Dr, Knoxville, TN 37909-3767 Ph: (865) 588-3173 | Patricia Lynn Proctor, MED, LPC-MHSP 6305 Lonas Dr, Knoxville, TN 37909-3767 Ph: (865) 588-3173 |
Alicia Cox, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 W Springdale Ave, Knoxville, TN 37917 Phone: 865-329-9173 | |
Hazel F Brady, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6800 Baum Dr, Building 1, Knoxville, TN 37919 Phone: 865-374-7100 | |
Mr. Richard Pardue, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 W Springdale Ave, Knoxville, TN 37917 Phone: 865-637-9711 | |
Joy Chamberlin, R.N. Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 W Springdale Ave, Knoxville, TN 37917 Phone: 865-637-9711 | |
Zibe Holton, HS Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 W Springdale Ave, Knoxville, TN 37917 Phone: 865-637-9711 | |
Travis Kobler, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 4308 Gap Road, Knoxville, TN 37912 Phone: 865-525-0391 Fax: 865-525-0393 | |
Aaron Brett Clark, LPC-MHSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 3720 N Broadway St, Knoxville, TN 37917 Phone: 423-742-5247 |