Individual
MS. VICTORIA T. GATTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
491 HILLVIEW DR, LAWRENCEBURG, TN 38464-1213
(931) 766-8549
(931) 766-8549
Mailing address
491 HILLVIEW DR, LAWRENCEBURG, TN 38464-1213
(931) 766-8549
(931) 766-8549
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4936
TN
1041C0700X
Clinical Social Worker
LSW0000004936
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3278660
MEDICARE GROUP/ORGANIZATION PTAN
TN
01
—
3920128
MEDICARE INDIVIDUAL PTAN
TN
Enumeration date
05/21/2008
Last updated
04/10/2012
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