| Personal Growth And Learning Center | |
|
509 N Cedar Ave Cookeville TN 38501-1707 | |
| (931) 520-8435 | |
| (931) 372-7225 |
| Full Name | Personal Growth And Learning Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 509 N Cedar Ave, Cookeville, Tennessee |
| Authorized Official Name and Position | Carole Lovell (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9315208435 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Personal Growth And Learning Center 509 N Cedar Ave Cookeville TN 38501-1707 Ph: (931) 520-8435 | Personal Growth And Learning Center 509 N Cedar Ave Cookeville TN 38501-1707 Ph: (931) 520-8435 |
| NPI Number | 1942324884 |
|---|---|
| Provider Enumeration Date | 03/17/2007 |
| Last Update Date | 04/10/2012 |
| Medicare PECOS PAC ID | 5496768855 |
|---|---|
| Medicare Enrollment ID | O20071116000279 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942324884 | NPI | - | NPPES |
| 3708402 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Tennessee) | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 9660 (Tennessee) | Primary |
| Provider Name | Elizabeth M Rodgers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053494708 PECOS PAC ID: 0648269605 Enrollment ID: I20040506001222 |
| Provider Name | Carole Lovell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952383085 PECOS PAC ID: 3678586039 Enrollment ID: I20071116000263 |
| Provider Name | Mark J Lovell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902949159 PECOS PAC ID: 0840374039 Enrollment ID: I20080227000037 |
| Provider Name | Jennifer C Bennett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760839252 PECOS PAC ID: 3577856137 Enrollment ID: I20160720001590 |
| Provider Name | Amy Jo Emerick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003400870 PECOS PAC ID: 7214343359 Enrollment ID: I20210315002372 |
| Provider Name | Lisa A Lovell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588327928 PECOS PAC ID: 6901294495 Enrollment ID: I20211103000705 |
| Provider Name | Crystal N Maxwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821750274 PECOS PAC ID: 0244629657 Enrollment ID: I20211104003033 |
| Provider Name | Sheila F. Masters |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952571176 PECOS PAC ID: 5193169571 Enrollment ID: I20240214001877 |
| Provider Name | Christopher William Paugh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427280056 PECOS PAC ID: 8921442781 Enrollment ID: I20240220002465 |
Cookeville Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 225 N Willow Ave, Cookeville, TN 38501 Phone: 931-528-8899 Fax: 866-813-8531 | |
Kenny W. Lynn, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 N Cedar Ave, Cookeville, TN 38501 Phone: 931-528-7418 Fax: 931-525-6165 | |
Tennessee Health And Wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 315 N Washington Ave Ste 102, Cookeville, TN 38501 Phone: 931-651-1918 Fax: 931-651-1912 | |
Interstate Health Systems, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 315 N Washington Ave Ste 190, Cookeville, TN 38501 Phone: 931-526-1604 | |
Benchmark Pt - Cookeville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 586 S Jefferson Ave Ste I, Cookeville, TN 38501 Phone: 423-238-7217 | |
1101 Primary Care, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1101 Neal St, Cookeville, TN 38501 Phone: 931-528-7797 | |
Urgent Team Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 650 S Jefferson Ave Ste 101, Cookeville, TN 38501 Phone: 931-303-0958 Fax: 931-854-1545 |