TELLICO BAY COUNSELING & WELLNESS CENTER (NPI# 1639239791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639239791 |
| Entity Type | Organization |
| Organization Name | TELLICO BAY COUNSELING & WELLNESS CENTER |
| Practice Address |
104 Dawson St Vonore TN 37885-2416 |
| Practice Telephone | 4238842479 |
| Practice Fax Number | 4238842491 |
| Mailing Telephone | 4238842479 |
| Mailing Fax Number | 4238842491 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SHIRLEY AMANDA SEXTON (CEO) |
| Authorized Official Telephone | 4238842479 |
| Authorized Official Credential | MS, MHC, NCC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LPC0000001953 | TN | Behavioral Health & Social Service Providers |
| Street Address |
104 DAWSON ST |
| City | VONORE |
| State | TN |
| Zip Code | 37885-2416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871723361 | Blount Memorial Hospital, Inc | Family Medicine | 110 Deer Crossing, Vonore, TN 37885 | 2009-07-20 |
| 1407821069 | Shawn Christian Davies | Specialist/Technologist | 110 Deer Xing, Vonore, TN 37885-2133 | 2006-02-17 |
| 1245251156 | Blount Memorial Occupational Health | Clinic/Center | 110 Deer Xing, Vonore, TN 37885-2133 | 2006-07-23 |
| 1376511931 | Edward Stephen Ellis | Internal Medicine | 110 Deer Xing, Vonore, TN 37885-2133 | 2006-03-09 |
| 1669449989 | Jennifer Saunders Shepherd | Physical Therapist | 110 Deer Xing, Vonore, TN 37885-2133 | 2006-03-06 |
| 1871568428 | Candace Michelle Yates | Specialist/Technologist | 110 Deer Xing, Vonore, TN 37885-2133 | 2006-02-17 |
| 1194274225 | Tina Billings | Health Educator | 365 Gun Ridge Rd, Vonore, TN 37885-2207 | 2016-09-30 |
| 1942543871 | K-va-t Food Stores Inc | Pharmacy | 2120 Highway 411, Vonore, TN 37885-2220 | 2013-03-28 |
| 1790055259 | Chota Community Health Services | Social Worker | 414 Hall St, Vonore, TN 37885-2338 | 2011-12-30 |
| 1467801472 | Kimberly Carter | Registered Nurse | 350 Dawson St, Ste. B, Vonore, TN 37885-2420 | 2016-06-09 |
| Find all providers in zip 37885 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386951614 | Amanda Kay Shelton | Counselor | 1206 Highway 411, Vonore, TN 37885-2455 | 2010-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598188 | Megan Trace Bearman | Counselor | 1107 Gartland Ave, Nashville, TN 37206-2746 | 2020-11-03 |
| 1336748854 | Kristen Hoover | Counselor | 4515 Poplar Ave Ste 305, Memphis, TN 38117-7507 | 2020-10-26 |
| 1942807235 | Natasha Lynn Hammock | Counselor | 6842 Northknoll Ave, Millington, TN 38053-3040 | 2020-10-08 |
| 1609473966 | Ashley N. Thomas | Counselor | 4189 Robert Everett Cv Apt 2, Memphis, TN 38111-7437 | 2020-10-08 |
| 1912504689 | Chelsea R Loeffler | Counselor | 1283 Murfreesboro Pike, Nashville, TN 37217-2432 | 2020-10-06 |
| 1568069524 | Philip Ray Nicholas | Counselor | 19 Wood Duck Cv, Jackson, TN 38305-6632 | 2020-10-02 |
| 1952918617 | Kate Mallory | Counselor | 240 Madison Ave Ste 601, Memphis, TN 38103-2770 | 2020-09-28 |
| 1912512377 | Wes Allen | Counselor | 123 Center Park Dr, Knoxville, TN 37922-2166 | 2020-09-12 |
| 1699389601 | George Mack IIi | Counselor | 317 18th Ave N Ste 200, Nashville, TN 37203-2253 | 2020-09-07 |
| 1619581717 | Natasha Schwinn | Counselor | 2015 Maplewood Dr, Knoxville, TN 37920-2750 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
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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.