| Holly Blanc Moses, Bcba Lpc Pllc | |
|
306 N B St Lenoir City TN 37771-2420 | |
| (865) 789-2730 | |
| Not Available |
| Full Name | Holly Blanc Moses, Bcba Lpc Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 306 N B St, Lenoir City, Tennessee |
| Authorized Official Name and Position | Holly Blanc Moses (DIRECTOR) |
| Authorized Official Contact | 8657892730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holly Blanc Moses, Bcba Lpc Pllc 306 N B St Lenoir City TN 37771-2420 Ph: (865) 789-2730 | Holly Blanc Moses, Bcba Lpc Pllc 306 N B St Lenoir City TN 37771-2420 Ph: (865) 789-2730 |
| NPI Number | 1902100118 |
|---|---|
| Provider Enumeration Date | 01/03/2011 |
| Last Update Date | 01/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902100118 | NPI | - | NPPES |
| 1512959 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 2568 (Tennessee) | Primary |
Autism & Behavioral Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Crestfield Ln, Lenoir City, TN 37771 Phone: 603-443-7650 | |
Counseling And Forensic Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 481 Leeper Pkwy Ste 6&7, Lenoir City, TN 37772 Phone: 865-816-3166 Fax: 865-225-9687 | |
Cherokee Health Systems Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 501 Adesa Blvd, Ste A-150, Lenoir City, TN 37771 Phone: 865-986-8082 Fax: 865-986-5890 | |
Peninsula Outpatient Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 423 Medical Park Dr, Lenoir City, TN 37772 Phone: 865-970-9800 Fax: 865-380-1461 |