Individual
MR. JODY DEAN FARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA LPE LPC
Contact information
Practice address
6 SIXTH ST, CENTRAL BUILDING SUITE 205, BRISTOL, TN 37620
(423) 968-2225
(423) 968-2225
Mailing address
1242 HIGHRIDGE DRIVE, KINGSPORT, TN 37664
(423) 323-9289
(423) 968-2225
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC000282
TN
101YM0800X
Mental Health Counselor
PE000531
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TPIN 13037341
FED GOVT TRADE PARTNER ID
—
Enumeration date
08/02/2006
Last updated
07/08/2007
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