| Counseling And Forensic Services | |
|
481 Leeper Pkwy Ste 6&7 Lenoir City TN 37772-6174 | |
| (865) 816-3166 | |
| (865) 225-9687 |
| Full Name | Counseling And Forensic Services |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 481 Leeper Pkwy Ste 6&7, Lenoir City, Tennessee |
| Authorized Official Name and Position | Mary Helen Lyle-joiner (OWENER/THERAPIST) |
| Authorized Official Contact | 8658163166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling And Forensic Services Po Box 25 Lenoir City TN 37771-0025 Ph: (865) 816-3166 | Counseling And Forensic Services 481 Leeper Pkwy Ste 6&7 Lenoir City TN 37772-6174 Ph: (865) 816-3166 |
| NPI Number | 1235773748 |
|---|---|
| Provider Enumeration Date | 10/29/2019 |
| Last Update Date | 08/29/2020 |
| Certification Date | 08/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235773748 | NPI | - | NPPES |
| QOO3573 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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