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NPI Code Detail

MEDICARE: MRS. KORIE BERNICE HENDRIX

MEDICARE: MRS. KORIE BERNICE HENDRIX
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 CounselorTN
2103K00000XBehavior Analyst1958TN
3106S00000XBehavior Technician

General Provider Information

NPI Number : 1003103987
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KORIE BERNICE HENDRIX
Provider Business Mailing Address
First Line : 103 STEWART ST
Second Line :
City : COLUMBIA
State : TN
Zip : 38401-2943
Country : US
Telephone Number : 615-594-1927
Fax Number :
Provider Business Practice Location Address
First Line : 424 CHURCH ST STE 2000
Second Line :
City : NASHVILLE
State : TN
Zip : 37219-3304
Country : US
Telephone Number : 855-832-6727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2011
Last Update Date : 11/16/2025

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Directions to “ MRS. KORIE BERNICE HENDRIX ” Practice Location

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