Organization
TELLICO BAY COUNSELING & WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY AMANDA SEXTON MS, MHC, NCC (CEO)
(423) 884-2479
Entity
Organization
Contact information
Practice address
104 DAWSON ST, VONORE, TN 37885-2416
(423) 884-2479
(423) 884-2491
Mailing address
104 DAWSON ST, VONORE, TN 37885-2416
(423) 884-2479
(423) 884-2491
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC0000001953
TN
Other
Enumeration date
12/11/2006
Last updated
08/22/2020
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