| Collaborative Counseling | |
|
1361 Perkins St Alcoa TN 37701-2354 | |
| (865) 258-7053 | |
| Not Available |
| Full Name | Collaborative Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 1361 Perkins St, Alcoa, Tennessee |
| Authorized Official Name and Position | Alice Stover (MEMBER MANAGER) |
| Authorized Official Contact | 8652587053 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Collaborative Counseling 1361 Perkins St Alcoa TN 37701-2354 Ph: (865) 258-7053 | Collaborative Counseling 1361 Perkins St Alcoa TN 37701-2354 Ph: (865) 258-7053 |
| NPI Number | 1629741129 |
|---|---|
| Provider Enumeration Date | 07/29/2021 |
| Last Update Date | 06/23/2024 |
| Certification Date | 10/29/2022 |
| Medicare PECOS PAC ID | 7113316266 |
|---|---|
| Medicare Enrollment ID | O20220107001196 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629741129 | NPI | - | NPPES |
| Q068098 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Alice Stover |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194211706 PECOS PAC ID: 4284038282 Enrollment ID: I20210813000285 |
Journey Of Life Counseling & Wellness, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1317 Dalton St, Alcoa, TN 37701 Phone: 865-556-3215 |