ZACHARY CHARLES TALBOTT (NPI# 1083157085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083157085 |
| Entity Type | Individual |
| Full Name | ZACHARY CHARLES TALBOTT |
| Credential | MSW, CAADC CCS |
| Practice Address |
1821 W Broadway Ave Maryville TN 37801-5511 |
| Mailing Address |
Po Box 6375 Maryville TN 37802-6375 |
| Practice Telephone | 8659645748 |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2020-07-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
C0312 | GA | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 37 Kiker St, Ellijay, GA 305403758 | 7067032517 | 7062732517 |
| Street Address |
1821 W BROADWAY AVE |
| City | MARYVILLE |
| State | TN |
| Zip Code | 37801-5511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649897802 | The Patricia Hall Talbott Legacy Centers, LLC | Clinic/Center | 1821 W Broadway Ave, Maryville, TN 37801-5511 | 2020-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912536582 | Andrea Waldrop | Pharmacist | 103 Foothills Mall Drive, Maryville, TN 37801 | 2020-04-06 |
| 1134664147 | Complete Vision Care Pllc | Optometrist | 2410 Us Hwy 411 S, Maryville, TN 37801 | 2016-12-29 |
| 1144634114 | James Muscari | Dentist | 824 W. Lamar Alexander Pkwy, Maryville, TN 37801 | 2014-06-17 |
| 1245465483 | Respiratory Home Care of Bristol, LLC | Durable Medical Equipment & Medical Supplies | 637 Morganton Square Dr, Maryville, TN 37801 | 2009-05-18 |
| 1063682383 | William R Pedersen | Optometrist | 730 West Lamar Alexander Pkwy, Maryville, TN 37801 | 2008-03-03 |
| 1124218573 | Liberty Assisted Living LLC | Assisted Living Facility | 312 Mcmaster Pl, Liberty Assisted Living LLC, Maryville, TN 37801 | 2007-07-31 |
| 1447467493 | Amanda G Clement | Nurse Practitioner | 1427 William Blount Drive, Maryville, TN 37801 | 2007-05-17 |
| 1396873758 | David T Cope | Audiologist | 821 Ross Drive, Maryville, TN 37801 | 2007-02-28 |
| 1649345406 | Adult & Family Dentistry, Inc. | Dentist | 1740 Big Springs Rd, Maryville, TN 37801 | 2006-11-21 |
| 1225109523 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 330 Southdowne Dr, Maryville, TN 37801 | 2006-11-10 |
| Find all providers in zip 37801 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598250359 | Patricia Lynn Wharton | Counselor | 547 W Lamar Alexander Pkwy, Maryville, TN 37801-4760 | 2018-06-25 |
| 1619315603 | William Sean Prescott | Counselor | 318 North Main, Maryville, MO 64468 | 2013-06-12 |
| 1093076655 | Julie Ann Sutter | Counselor | 200 E Broadway Ave Ste 413, Maryville, TN 37804-5754 | 2012-05-30 |
| 1487602827 | Reginald Wynn Holt | Counselor | 6201 W Main St, Suite 110, Maryville, IL 62062-6870 | 2006-05-05 |
| 1124534912 | Extasy Grinn | Counselor | 2030 Chilhowee Medical Park, Maryville, TN 37804-5285 | 2017-12-16 |
| 1144750605 | Rebecca Leigh Salah | Counselor | 2148 Vadalabene Dr, Maryville, IL 62062-5632 | 2017-06-18 |
| 1497115315 | Kolin Smith | Counselor | 2148 Vadalabene Dr, Maryville, IL 62062-5632 | 2016-03-04 |
| 1336521947 | Kevin Robertson | Counselor | 318 N Main St, Maryville, MO 64468-1644 | 2015-06-19 |
| 1336578442 | New Beginnings Counseling Group | Counselor | 423 N Market St, Maryville, MO 64468 | 2013-11-08 |
| 1750719142 | Courtney L Hupp | Counselor | 2148 Vadalabene Dr, Maryville, IL 62062-5632 | 2013-10-22 |
| Find all providers in MARYVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.