MEDICARE: A NEW YOU COUNSELING CENTER, PC

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
1	101YP2500X	Professional Counselor	2771	TN

General Provider Information

NPI Number	:	1043654981
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A NEW YOU COUNSELING CENTER, PC

Provider Business Mailing Address
First Line	:	5331 MOUNT VIEW RD
Second Line	:	PMB 227
City	:	ANTIOCH
State	:	TN
Zip	:	37013-2308
Country	:	US
Telephone Number	:	615-200-6360
Fax Number	:

Provider Business Practice Location Address
First Line	:	1321 MURFREESBORO PIKE
Second Line	:	SUITE 655
City	:	NASHVILLE
State	:	TN
Zip	:	37217-2690
Country	:	US
Telephone Number	:	615-200-6360
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	TONYA MCKOY
Credential	:	M.ED., LPC-MHSP, NCC
Telephone Number	:	615-200-6360

Provider Enumeration Date	:	04/22/2013
Last Update Date	:	06/12/2014

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