MEDICARE: MS. ANA HUME 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	0848	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	20-4481954	OTHER	TN	TN TAX IDENTIFICATION NUM
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821148552
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANA HUME LPC

Provider Business Mailing Address
First Line	:	2900 TAZEWELL PIKE
Second Line	:	STE G
City	:	KNOXVILLE
State	:	TN
Zip	:	37918-1880
Country	:	US
Telephone Number	:	865-742-6488
Fax Number	:	865-689-4443

Provider Business Practice Location Address
First Line	:	210 SIMMONS ST
Second Line	:
City	:	MARYVILLE
State	:	TN
Zip	:	37801-4750
Country	:	US
Telephone Number	:	865-970-9800
Fax Number	:

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

Provider Enumeration Date	:	01/12/2007
Last Update Date	:	03/17/2018

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