| Divergent Roads Counseling | |
|
3505 Adkisson Dr Nw Ste 205 Cleveland TN 37312-6805 | |
| (423) 368-5893 | |
| Not Available |
| Full Name | Divergent Roads Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 3505 Adkisson Dr Nw Ste 205, Cleveland, Tennessee |
| Authorized Official Name and Position | Rachel La Rea Hatchett (OWNER) |
| Authorized Official Contact | 4233685893 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Divergent Roads Counseling 417 County Road 709 Riceville TN 37370-5331 Ph: (423) 368-5893 | Divergent Roads Counseling 3505 Adkisson Dr Nw Ste 205 Cleveland TN 37312-6805 Ph: (423) 368-5893 |
| NPI Number | 1801568761 |
|---|---|
| Provider Enumeration Date | 09/29/2021 |
| Last Update Date | 09/29/2021 |
| Certification Date | 09/29/2021 |
| Medicare PECOS PAC ID | 1658779103 |
|---|---|
| Medicare Enrollment ID | O20211013002183 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801568761 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Rachel L Hatchett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740739648 PECOS PAC ID: 7911303003 Enrollment ID: I20210915002764 |
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