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NPI Code Detail

MEDICARE: LOIS C. KIRK LPC-MHSP

MEDICARE: LOIS C. KIRK LPC-MHSP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor4142TN

General Provider Information

NPI Number : 1619449501
Entity Type Code : Individual
Provider Name (Legal Business Name) : LOIS C. KIRK LPC-MHSP
Provider Business Mailing Address
First Line : 623 SWEETLEAF LN
Second Line :
City : SMYRNA
State : TN
Zip : 37167-6590
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2722 OLD ELM HILL PIKE STE B
Second Line :
City : NASHVILLE
State : TN
Zip : 37214-3171
Country : US
Telephone Number : 615-509-1997
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2018
Last Update Date : 12/18/2018

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