| Middle Tn Counseling Services, Pllc | |
|
104 Peacock St. Bell Buckle TN 37020-3702 | |
| (615) 512-4000 | |
| Not Available |
| Full Name | Middle Tn Counseling Services, Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 104 Peacock St., Bell Buckle, Tennessee |
| Authorized Official Name and Position | Michael Scott Harris (OWNER) |
| Authorized Official Contact | 6155124000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Middle Tn Counseling Services, Pllc Po Box 277 Bell Buckle TN 37020-0277 Ph: (615) 512-4000 | Middle Tn Counseling Services, Pllc 104 Peacock St. Bell Buckle TN 37020-3702 Ph: (615) 512-4000 |
| NPI Number | 1073145876 |
|---|---|
| Provider Enumeration Date | 02/10/2020 |
| Last Update Date | 02/27/2020 |
| Certification Date | 02/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073145876 | NPI | - | NPPES |
| Q044488 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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