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NPI Code Detail

MEDICARE: MICHAEL THOMAS NEUBERT LPCC

MEDICARE: MICHAEL THOMAS NEUBERT LPCC
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
1101YP2500XProfessional Counselor280818KY

General Provider Information

NPI Number : 1407541717
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL THOMAS NEUBERT LPCC
Provider Business Mailing Address
First Line : 3817 ROSCOMMON WAY
Second Line :
City : CLARKSVILLE
State : TN
Zip : 37040-2509
Country : US
Telephone Number : 865-292-3481
Fax Number :
Provider Business Practice Location Address
First Line : 650 JOEL DR
Second Line :
City : FORT CAMPBELL
State : KY
Zip : 42223-5318
Country : US
Telephone Number : 270-461-4615
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2023
Last Update Date : 03/23/2026

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Directions to “ MICHAEL THOMAS NEUBERT LPCC” Practice Location

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