| Rachel B. Dorris, Lcsw, Llc | |
|
150 N. Main St. Suite 303 Gallatin TN 37066-3251 | |
| (615) 451-0250 | |
| (615) 451-0240 |
| Full Name | Rachel B. Dorris, Lcsw, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 150 N. Main St., Gallatin, Tennessee |
| Authorized Official Name and Position | Rachel Brimm Dorris (OWNER) |
| Authorized Official Contact | 6154510250 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rachel B. Dorris, Lcsw, Llc 150 N. Main St. Suite 303 Gallatin TN 37066-3251 Ph: (615) 451-0250 | Rachel B. Dorris, Lcsw, Llc 150 N. Main St. Suite 303 Gallatin TN 37066-3251 Ph: (615) 451-0250 |
| NPI Number | 1568647105 |
|---|---|
| Provider Enumeration Date | 01/02/2008 |
| Last Update Date | 09/18/2014 |
| Medicare PECOS PAC ID | 6709103724 |
|---|---|
| Medicare Enrollment ID | O20150331001465 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568647105 | NPI | - | NPPES |
| 1104997337 | Other | TN | NPI |
| 3920092 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 4779 (Tennessee) | Primary |
| Provider Name | Rachel B Dorris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104997337 PECOS PAC ID: 2860570546 Enrollment ID: I20080422000057 |
| Provider Name | Julie K Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720516131 PECOS PAC ID: 5193082899 Enrollment ID: I20171206000070 |
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