# TELLICO BAY COUNSELING & WELLNESS CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639239791
- **Authorized official:** SHIRLEY AMANDA SEXTON MS, MHC, NCC (CEO)
- **Authorized official phone:** (423) 884-2479

## Contact information

- **Practice address:** 104 DAWSON ST, VONORE, TN 37885-2416
- **Practice address phone:** (423) 884-2479
- **Practice address fax:** (423) 884-2491
- **Mailing address:** 104 DAWSON ST, VONORE, TN 37885-2416
- **Mailing address phone:** (423) 884-2479
- **Mailing address fax:** (423) 884-2491

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | LPC0000001953 | TN | Yes |

## Other

- **Enumeration date:** 12/11/2006
- **Last updated:** 08/22/2020