| My Therapy Solutions Pllc | |
|
5325 Old Hixson Pike Hixson TN 37343-3244 | |
| (423) 544-2773 | |
| (866) 446-0276 |
| Full Name | My Therapy Solutions Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 5325 Old Hixson Pike, Hixson, Tennessee |
| Authorized Official Name and Position | Macquanetta Denise Robinson (SOLE MEMBER) |
| Authorized Official Contact | 4235442773 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| My Therapy Solutions Pllc 5325 Old Hixson Pike Hixson TN 37343-3244 Ph: (423) 544-2773 | My Therapy Solutions Pllc 5325 Old Hixson Pike Hixson TN 37343-3244 Ph: (423) 544-2773 |
| NPI Number | 1912776451 |
|---|---|
| Provider Enumeration Date | 12/26/2023 |
| Last Update Date | 12/26/2023 |
| Certification Date | 12/26/2023 |
| Medicare PECOS PAC ID | 9931641503 |
|---|---|
| Medicare Enrollment ID | O20240611001596 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912776451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Macquanetta Denise Robinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942643879 PECOS PAC ID: 0648677245 Enrollment ID: I20210924000316 |
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