| Brandon M. Cole, Lpc, Mhsp, Pllc | |
|
739 Bluff City Hwy Ste 8 Bristol TN 37620-4637 | |
| (423) 444-5169 | |
| (423) 217-1069 |
| Full Name | Brandon M. Cole, Lpc, Mhsp, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 739 Bluff City Hwy Ste 8, Bristol, Tennessee |
| Authorized Official Name and Position | Brandon Cole (OWNER) |
| Authorized Official Contact | 4234445169 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon M. Cole, Lpc, Mhsp, Pllc 739 Bluff City Hwy Ste 8 Bristol TN 37620-4637 Ph: (423) 444-5169 | Brandon M. Cole, Lpc, Mhsp, Pllc 739 Bluff City Hwy Ste 8 Bristol TN 37620-4637 Ph: (423) 444-5169 |
| NPI Number | 1376931204 |
|---|---|
| Provider Enumeration Date | 12/30/2014 |
| Last Update Date | 01/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376931204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | LPC0000003243 (Tennessee) | Primary |
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