MEDICARE: DAVID THOMAS CUNNINGHAM 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	6553	TN

General Provider Information

NPI Number	:	1316776164
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID THOMAS CUNNINGHAM LPC-MHSP

Provider Business Mailing Address
First Line	:	301 N JACKSON ST STE 2
Second Line	:
City	:	TULLAHOMA
State	:	TN
Zip	:	37388-3554
Country	:	US
Telephone Number	:	931-563-5533
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 N JACKSON ST STE 2
Second Line	:
City	:	TULLAHOMA
State	:	TN
Zip	:	37388-3554
Country	:	US
Telephone Number	:	931-563-5533
Fax Number	:

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

Provider Enumeration Date	:	07/30/2024
Last Update Date	:	01/23/2026

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Directions to “ DAVID THOMAS CUNNINGHAM LPC-MHSP” Practice Location

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