| Center Of Hope Treatment Of Attachment & Trauma Llc | |
|
204 Memorial Dr Bristol TN 37620-1704 | |
| (423) 968-2225 | |
| (423) 573-2226 |
| Full Name | Center Of Hope Treatment Of Attachment & Trauma Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 204 Memorial Dr, Bristol, Tennessee |
| Authorized Official Name and Position | Lisa P Sherfey (LCSW) |
| Authorized Official Contact | 4233401270 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center Of Hope Treatment Of Attachment & Trauma Llc 204 Memorial Dr Bristol TN 37620-1704 Ph: (423) 968-2225 | Center Of Hope Treatment Of Attachment & Trauma Llc 204 Memorial Dr Bristol TN 37620-1704 Ph: (423) 968-2225 |
| NPI Number | 1457858193 |
|---|---|
| Provider Enumeration Date | 04/10/2018 |
| Last Update Date | 06/20/2022 |
| Certification Date | 06/20/2022 |
| Medicare PECOS PAC ID | 7810244670 |
|---|---|
| Medicare Enrollment ID | O20180725000534 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457858193 | NPI | - | NPPES |
| Provider Name | Lisa P Sherfey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639128853 PECOS PAC ID: 0941212450 Enrollment ID: I20060628000072 |
| Provider Name | Audrey Jean Bierbaum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942873922 PECOS PAC ID: 1850648619 Enrollment ID: I20220608001883 |
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