MEDICARE: MS. JENNIFER HARVEY SEAY LPE

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	101YM0800X	Mental Health Counselor	LPE11824	TN

General Provider Information

NPI Number	:	1043893134
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JENNIFER HARVEY SEAY LPE

Provider Business Mailing Address
First Line	:	3052 FOOTPOINT DR
Second Line	:
City	:	SPRING HILL
State	:	TN
Zip	:	37174-8266
Country	:	US
Telephone Number	:	615-934-5776
Fax Number	:

Provider Business Practice Location Address
First Line	:	3052 FOOTPOINT DR
Second Line	:
City	:	SPRING HILL
State	:	TN
Zip	:	37174-8266
Country	:	US
Telephone Number	:	615-934-5776
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2021
Last Update Date	:	05/05/2021

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