Organization
CREATIVE INSIGHT COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE FARMER MA, LPC-MHSP (THERAPIST)
(931) 212-8737
Entity
Organization
Contact information
Practice address
647 FRANK SLATTEN RD, QUEBECK, TN 38579-2028
(931) 212-8737
Mailing address
647 FRANK SLATTEN RD, QUEBECK, TN 38579-2028
(931) 212-8737
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
3889
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q028489
—
TN
Enumeration date
04/20/2018
Last updated
04/20/2018
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