| Love Without Walls Mental Health Center | |
|
111 Park St Athens TN 37303-4255 | |
| (423) 920-5298 | |
| Not Available |
| Full Name | Love Without Walls Mental Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 111 Park St, Athens, Tennessee |
| Authorized Official Name and Position | Rashanae Arnwine (EXECUTIVE DIRECTOR/OWNER) |
| Authorized Official Contact | 4239205298 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Love Without Walls Mental Health Center 111 County Road 2520 Athens TN 37303-6925 Ph: (423) 920-5298 | Love Without Walls Mental Health Center 111 Park St Athens TN 37303-4255 Ph: (423) 920-5298 |
| NPI Number | 1619440351 |
|---|---|
| Provider Enumeration Date | 01/05/2019 |
| Last Update Date | 10/29/2020 |
| Certification Date | 10/29/2020 |
| Medicare PECOS PAC ID | 1850627050 |
|---|---|
| Medicare Enrollment ID | O20190725002234 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619440351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Winnifred Dunbar-davies |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487732848 PECOS PAC ID: 3274500780 Enrollment ID: I20040914000900 |
| Provider Name | Joann S Marrs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104855451 PECOS PAC ID: 9739401720 Enrollment ID: I20141202000930 |
| Provider Name | Edgar Tyrone Fritz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417303157 PECOS PAC ID: 7012209224 Enrollment ID: I20160708001029 |
| Provider Name | Mandi Slaton-saffles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801247259 PECOS PAC ID: 6305127887 Enrollment ID: I20161220002222 |
| Provider Name | Rikki Lynn Pleasants |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659326387 PECOS PAC ID: 1254344708 Enrollment ID: I20200402001070 |
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