MEDICARE: MS. BECKI GARLAND LPC

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	5753747	TN

General Provider Information

NPI Number	:	1588818876
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BECKI GARLAND LPC

Provider Business Mailing Address
First Line	:	9536 SARASOTA DR
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37923-2734
Country	:	US
Telephone Number	:	865-382-9822
Fax Number	:	865-694-9528

Provider Business Practice Location Address
First Line	:	111 CENTER PARK DR
Second Line	:	SUITE 150
City	:	KNOXVILLE
State	:	TN
Zip	:	37922-2103
Country	:	US
Telephone Number	:	865-382-9822
Fax Number	:	865-694-9528

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

Provider Enumeration Date	:	11/12/2008
Last Update Date	:	11/12/2008

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