Individual
KAY QUINTERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LSPE
Contact information
Practice address
612 S CONGRESS BLVD, SUITE F, SMITHVILLE, TN 37166-2009
(615) 597-4673
(615) 597-4673
Mailing address
612 S CONGRESS BLVD, SUITE F, SMITHVILLE, TN 37166-2009
(615) 597-4673
(615) 597-4673
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0000000703
TN
101YP2500X
Professional Counselor
0000000703
TN
103T00000X
Psychologist
0000000703
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1274688
AMERIGROUP
TN
01
—
2500723
TENN CARE SELECT
TN
01
—
26-4275807
TAX ID
TN
01
—
4222377
BLUE CROSS BLUE SHIELD
TN
05
—
5441718
—
TN
Enumeration date
04/03/2007
Last updated
06/07/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us