Healthcare Provider Details

I. General information

NPI: 1720894397
Provider Name (Legal Business Name): DIMENSIONS COUNSELING CENTER, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2024
Last Update Date: 01/09/2025
Certification Date: 01/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

703 MARBORO DR
JOHNSON CITY TN
37601-2432
US

IV. Provider business mailing address

PO BOX 153
PINEY FLATS TN
37686-0153
US

V. Phone/Fax

Practice location:
  • Phone: 423-722-2499
  • Fax: 423-722-2499
Mailing address:
  • Phone: 423-722-2499
  • Fax: 423-722-2499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. HUNTER COOK
Title or Position: OWNER
Credential: MS
Phone: 423-722-2499