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NPI Code Detail

MEDICARE: CAREY COUNSELING CENTER, INC.

MEDICARE: CAREY COUNSELING CENTER, INC.
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
1101YA0400XAddiction (Substance Use Disorder) Counselor0000000225TN
2320800000XMental Illness Community Based Residential Treatment Facility
3101YM0800XMental Health CounselorL2(14)M2-076-6265TN

General Provider Information

NPI Number : 1760568877
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAREY COUNSELING CENTER, INC.
Provider Business Mailing Address
First Line : 408 VIRGINIA ST
Second Line : P.O. BOX 30
City : PARIS
State : TN
Zip : 38242-5341
Country : US
Telephone Number : 731-644-1753
Fax Number : 731-642-1010
Provider Business Practice Location Address
First Line : 408 VIRGINIA ST
Second Line :
City : PARIS
State : TN
Zip : 38242-5341
Country : US
Telephone Number : 731-644-1753
Fax Number : 731-642-1010
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : ROBERT D VAUGHN
Credential :
Telephone Number : 731-642-0521
Provider Enumeration Date : 10/31/2006
Last Update Date : 04/14/2026

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Directions to “CAREY COUNSELING CENTER, INC. ” Practice Location

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