| Amy Crosswhite, Pllc | |
|
305 College St Mountain City TN 37683-1301 | |
| (423) 460-1555 | |
| (423) 644-0090 |
| Full Name | Amy Crosswhite, Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 305 College St, Mountain City, Tennessee |
| Authorized Official Name and Position | Amy Crosswhite (OWNER) |
| Authorized Official Contact | 4234601555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Crosswhite, Pllc 305 College St Mountain City TN 37683-1301 Ph: (423) 460-1555 | Amy Crosswhite, Pllc 305 College St Mountain City TN 37683-1301 Ph: (423) 460-1555 |
| NPI Number | 1518734102 |
|---|---|
| Provider Enumeration Date | 12/05/2023 |
| Last Update Date | 12/05/2023 |
| Certification Date | 12/05/2023 |
| Medicare PECOS PAC ID | 9234580648 |
|---|---|
| Medicare Enrollment ID | O20240110002949 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518734102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Amy Lynne Crosswhite |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1003039512 PECOS PAC ID: 0143671552 Enrollment ID: I20240110003066 |
Tripod Ridge Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 793 Sprucy Ridge Pvt Rd, Mountain City, TN 37683 Phone: 512-694-6233 |