MEDICARE: BETH RICHARDSON LORDO MA, 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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1063836039
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BETH RICHARDSON LORDO MA, LPC-MHSP

Provider Business Mailing Address
First Line	:	1340 DOWELL SPRINGS BLVD
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37909-2453
Country	:	US
Telephone Number	:	865-314-5939
Fax Number	:

Provider Business Practice Location Address
First Line	:	1340 DOWELL SPRINGS BLVD
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37909-2453
Country	:	US
Telephone Number	:	865-314-5939
Fax Number	:

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

Provider Enumeration Date	:	02/12/2014
Last Update Date	:	06/18/2025

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