| Fairhaven Counseling | |
|
2198 Ripshin Mountain Rd Roan Mountain TN 37687-3762 | |
| (423) 772-0044 | |
| Not Available |
| Full Name | Fairhaven Counseling |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2198 Ripshin Mountain Rd, Roan Mountain, Tennessee |
| Authorized Official Name and Position | Stuart A Coleman (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 4237720044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairhaven Counseling 2198 Ripshin Mountain Rd Roan Mountain TN 37687-3762 Ph: (423) 772-0044 | Fairhaven Counseling 2198 Ripshin Mountain Rd Roan Mountain TN 37687-3762 Ph: (423) 772-0044 |
| NPI Number | 1164958377 |
|---|---|
| Provider Enumeration Date | 05/08/2017 |
| Last Update Date | 05/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164958377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 3669 (Tennessee) | Primary |