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Individual

MRS. CINDY M TVARDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MED, LMFT

Contact information

Practice address
401 HOLSTON DRIVE, NOLA CHUCKEY MENTAL HEALTH CENTER/FRONTIER HEALTH, GREENEVILLE, TN 37743
(423) 639-1104
(423) 636-8365
Mailing address
PO BOX 9054, GRAY, TN 37615-9054
(423) 467-3600
(423) 467-3696

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT222
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1046917
CIGNA-MCC
01
3085409
MAGELLAN NAVIGATOR
01
334969
VALUEOPTIONS
01
620582605017
TRICARE SOUTH
01
620582605W7
UBH-EMPLOYER
Enumeration date
09/05/2006
Last updated
07/08/2007
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