Organization
COLUMBIA MEDICAL GROUPDAYSTAR INC
Active
Other names
Daystar Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH J TULLOCK LCSW (DIRECTOR)
(423) 744-8734
Entity
Organization
Contact information
Practice address
748 TELL STREET, ATHENS, TN 37303
(423) 744-8734
(423) 649-0346
Mailing address
PO BOX 867, ATHENS, TN 37371-0867
(423) 744-8734
(423) 649-0346
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
TN
Other
Enumeration date
08/15/2006
Last updated
10/17/2007
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