| Amanda Shaw, LMFT | |
|
448 Neal St, Cookeville, TN 38501-4781 | |
| (615) 708-3101 | |
| Not Available |
| Full Name | Amanda Shaw |
|---|---|
| Gender | Female |
| Speciality | Marriage And Family Therapist |
| Experience | 10 Years |
| Location | 448 Neal St, Cookeville, Tennessee |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629862727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 2464 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Brownsville Medical Clinic, P.a. | 0547339772 | 61 |
| Bh Services Southeast 1 Pc | 7012457054 | 96 |
| Entity Name | Southeastern Physician Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20071025000571 |
| Entity Name | Ipc Pac Healthcare Services of Tennessee PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104277656 PECOS PAC ID: 0840587572 Enrollment ID: O20160928000541 |
| Entity Name | NV Pacs 2 LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427534809 PECOS PAC ID: 0941550578 Enrollment ID: O20210903001263 |
| Entity Name | CS Pacs 3 Southeast LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154104958 PECOS PAC ID: 8426404302 Enrollment ID: O20231206003761 |
| Entity Name | BH Services Southeast 1 PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164251526 PECOS PAC ID: 7012457054 Enrollment ID: O20241023003002 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Shaw, LMFT 149 Darlene Dr, Sparta, TN 38583-5848 Ph: (615) 708-3101 | Amanda Shaw, LMFT 448 Neal St, Cookeville, TN 38501-4781 Ph: (615) 708-3101 |
Ms. Taya Marcell Gyorkey, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1835 Paran Rd, Cookeville, TN 38506 Phone: 530-520-3770 |
Erin Marlene Kelly, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 320 E Broad St, Cookeville, TN 38501 Phone: 931-252-4245 |
Margarita Lundhom, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 665 S Jefferson Ave, Cookeville, TN 38501 Phone: 931-528-0051 |
Richard Dorsey Gillespie, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 418 N Willow Ave, Cookeville, TN 38501 Phone: 931-646-5600 |
Joseph Clemens, M.A. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 570 E 10th St, Cookeville, TN 38501 Phone: 931-372-7117 |
Ms. Myra J Burnette, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 665 S Jefferson Ave, Cookeville, TN 38501 Phone: 931-528-0051 Fax: 931-528-0021 |
Nathalie Kintz, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 665 S Jefferson Ave, Cookeville, TN 38501 Phone: 931-528-0051 |