| Susan Grimes Fortner, | |
|
214 Main St, Baxter, TN 38544-5280 | |
| (931) 588-0475 | |
| Not Available |
| Full Name | Susan Grimes Fortner |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 214 Main St, Baxter, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275241572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 5175 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Grimes Fortner, 214 Dyer Grimes Rd, Cookeville, TN 38501-4399 Ph: (931) 783-1113 | Susan Grimes Fortner, 214 Main St, Baxter, TN 38544-5280 Ph: (931) 588-0475 |
Ms. Brandi Jo Hampshire, Counselor Medicare: Not Enrolled in Medicare Practice Location: 166 Rachelle Pl, Baxter, TN 38544 Phone: 931-265-9373 | |
Shannon Nicole Holloway, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 214 Main St, Baxter, TN 38544 Phone: 931-248-0610 |