| Living Proof Counseling Services | |
|
391 Broad St Nw Ste 201 Cleveland TN 37311-5039 | |
| (423) 444-0998 | |
| (865) 999-7858 |
| Full Name | Living Proof Counseling Services |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 391 Broad St Nw Ste 201, Cleveland, Tennessee |
| Authorized Official Name and Position | Edgar Tyrone Fritz (FACILITY DIRECTOR) |
| Authorized Official Contact | 8657653797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Proof Counseling Services 2928 E Magnolia Ave Knoxville TN 37914-4515 Ph: (865) 765-3797 | Living Proof Counseling Services 391 Broad St Nw Ste 201 Cleveland TN 37311-5039 Ph: (423) 444-0998 |
| NPI Number | 1013571884 |
|---|---|
| Provider Enumeration Date | 04/26/2019 |
| Last Update Date | 02/06/2023 |
| Certification Date | 02/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013571884 | NPI | - | NPPES |
| 1417303157 | Medicaid | TN | |
| Q022498 | Medicaid | TN |
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