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NPI Code Detail

MEDICARE: HOPE ANDERSON LMFT

MEDICARE:   HOPE  ANDERSON  LMFT
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
1106H00000XMarriage & Family Therapist8076ANC
2106H00000XMarriage & Family Therapist1624NC
3106H00000XMarriage & Family Therapist1186TN

General Provider Information

NPI Number : 1689011496
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOPE ANDERSON LMFT
Provider Business Mailing Address
First Line : 332 HOSPITAL RD
Second Line :
City : MOUNTAIN CITY
State : TN
Zip : 37683-4309
Country : US
Telephone Number : 423-727-9898
Fax Number :
Provider Business Practice Location Address
First Line : 332 HOSPITAL RD
Second Line :
City : MOUNTAIN CITY
State : TN
Zip : 37683-4309
Country : US
Telephone Number : 423-727-9898
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2013
Last Update Date : 09/04/2015

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