Alicia A Victory, Psyd, Llc - Medicare Mental Health Clinic in Columbia, TN

Alicia A Victory, Psyd, Llc is a medicare enrolled mental health clinic (Psychologist - Clinical) in Columbia, Tennessee. The current practice location for Alicia A Victory, Psyd, Llc is 101 Walnut Ln, Columbia, Tennessee. For appointments, you can reach them via phone at (615) 625-2117. The mailing address for Alicia A Victory, Psyd, Llc is Po Box 5777, Maryville, Tennessee and phone number is (865) 246-2104.

Alicia A Victory, Psyd, Llc is licensed to practice in Tennessee (license number 3279). The clinic also participates in the medicare program and its NPI number is 1386130292. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (615) 625-2117.

Contact Information

Alicia A Victory, Psyd, Llc
101 Walnut Ln
Columbia
TN 38401
(615) 625-2117
(865) 246-2104

Mental Health Clinic Profile

Full NameAlicia A Victory, Psyd, Llc
SpecialityPsychologist
Location101 Walnut Ln, Columbia, Tennessee
Authorized Official Name and PositionAlicia A Victory (OWNER)
Authorized Official Contact6156252117
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Alicia A Victory, Psyd, Llc
Po Box 5777
Maryville
TN 37802-5777

Ph: (865) 246-2104
Alicia A Victory, Psyd, Llc
101 Walnut Ln
Columbia
TN 38401

Ph: (615) 625-2117

NPI Details:

NPI Number1386130292
Provider Enumeration Date07/03/2018
Last Update Date09/04/2018

Medicare PECOS Information:

Medicare PECOS PAC ID8820348311
Medicare Enrollment IDO20180904001947

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Medical Identifiers

Medical identifiers for Alicia A Victory, Psyd, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386130292NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 3279 (Tennessee)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Alicia A Victory, Psyd, Llc acts as a billing entity for following providers:
Provider NameAlicia Victory
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1659541969
PECOS PAC ID: 6608917844
Enrollment ID: I20161118000565

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