| Therapy Place, Counseling And Consultation, Inc. | |
|
108 E Main St Suite 215 Kingsport TN 37660-4257 | |
| (423) 246-9800 | |
| (423) 246-5247 |
| Full Name | Therapy Place, Counseling And Consultation, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 108 E Main St, Kingsport, Tennessee |
| Authorized Official Name and Position | John Phillip Singleton (SEC./TREAS.) |
| Authorized Official Contact | 4232469800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapy Place, Counseling And Consultation, Inc. 108 E Main St Suite 215 Kingsport TN 37660-4257 Ph: (423) 246-9800 | Therapy Place, Counseling And Consultation, Inc. 108 E Main St Suite 215 Kingsport TN 37660-4257 Ph: (423) 246-9800 |
| NPI Number | 1184714123 |
|---|---|
| Provider Enumeration Date | 10/13/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7113199779 |
|---|---|
| Medicare Enrollment ID | O20111004000709 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184714123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | IP584 (Tennessee) | Primary |
| Provider Name | Jo Cox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386734358 PECOS PAC ID: 3870767072 Enrollment ID: I20111128000765 |
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