Individual
EVA ANN ALTIZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NED LPC MHSP
Contact information
Practice address
1570 WAVERTY RD, HOLSTON COUNSELING CTR, KINGSPORT, TN 37664
(423) 224-1300
(423) 224-1375
Mailing address
PO BOX 9054, GRAY, TN 37615-9054
(423) 467-3600
(423) 467-3696
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC1703
TN
101YP2500X
Professional Counselor
LPC1703
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020107
ANTHEM PROF TRIGON
—
01
—
334969
VALUEOPTIONS GROUP
—
01
—
368690
MANAGED HEALTH NET
—
01
—
4087213
MAGELLAN SUMMIT
—
Enumeration date
08/13/2006
Last updated
09/11/2025
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